Medical Outsourcing Services jobs

Home Health QA Specialist (US Healthcare) – Remote Philippines

Company: Infinite Home Health
Location: Philippines – 100% Remote / Work From Home
Employment: Full-Time
Schedule: Monday–Friday | U.S. Pacific Time | Flexible
Compensation: ₱13,000–₱75,000 PHP per month, depending on experience

THIS IS NOT AN ENTRY-LEVEL VIRTUAL ASSISTANT POSITION

Infinite Home Health is seeking an experienced Home Health Quality Assurance Specialist located in the Philippines to support our U.S.-based Home Health Agency.

We are specifically looking for candidates with direct experience working with U.S. Home Health Agencies, particularly in clinical Quality Assurance, OASIS review, Plan of Care review, physician orders, clinical documentation, and Medicare/CMS compliance.

Candidates whose experience is primarily general virtual assistance, customer service, medical scheduling, or administrative support without direct U.S. Home Health QA experience will not be considered for this position.

POSITION OVERVIEW

The Home Health QA Specialist will review clinical documentation to ensure patient charts are complete, accurate, compliant, and ready for billing.

You will work closely with our U.S.-based administrative and clinical teams to identify documentation deficiencies, return records for correction, follow up on outstanding items, and help maintain an organized QA workflow.

The ideal candidate understands the entire Home Health documentation lifecycle and can recognize problems before they become billing, compliance, or audit issues.

KEY RESPONSIBILITIES Clinical Documentation & Chart QA

Review Home Health patient charts for accuracy, completeness, consistency, and regulatory compliance.

Review documentation including:

• Start of Care (SOC)
• Resumption of Care (ROC)
• Recertifications
• Discharges
• OASIS assessments
• Skilled Nursing notes
• Physical Therapy documentation
• Occupational Therapy documentation
• Speech Therapy documentation
• Medical Social Worker documentation
• Home Health Aide documentation
• Plan of Care / CMS-485
• Physician orders
• Face-to-Face documentation
• Medication profiles
• Therapy evaluations and reassessments
• Visit documentation

Identify missing, conflicting, incomplete, late, or non-compliant documentation.

Verify consistency between the patient’s OASIS, Plan of Care, physician orders, diagnoses, medications, visit notes, therapy documentation, and other clinical records.

OASIS Review

Review applicable OASIS assessments for completeness, accuracy, clinical consistency, and supporting documentation.

Candidates should understand OASIS workflows including:

• SOC
• ROC
• Recertification
• Transfer
• Discharge

Identify inconsistencies between OASIS responses and the underlying clinical documentation.

Communicate required corrections or clarifications to the appropriate clinical team member and follow through until the issue is resolved.

Plan of Care & Physician Orders

Review Plans of Care and physician orders for accuracy, completeness, required signatures, dates, frequencies, diagnoses, and consistency with the patient’s clinical record.

Track outstanding and unsigned physician orders.

Identify documentation that requires correction before the chart can move forward.

Monitor documentation timelines and escalate overdue items when necessary.

Billing Readiness

Help ensure patient charts are complete and QA-approved before they are released for billing.

Identify documentation deficiencies that may create:

• Billing delays
• Medicare compliance issues
• Audit exposure
• Missing orders
• Unsupported services
• Documentation inconsistencies
• Incomplete patient records

Work closely with internal QA, clinical, billing, and administrative staff to resolve outstanding documentation.

DEV​ERO / HOME HEALTH EMR EXPERIENCE

Experience with DeVero / Netsmart is strongly preferred.

Candidates with direct DeVero experience should be comfortable working with documentation statuses and workflows such as:

• Pending
• To Be Corrected
• Corrected
• To Be Signed
• Sent to Office
• Shared
• Completed documentation
• Physician orders
• OASIS documentation
• Clinical notes
• Discharge documentation
• QA queues

You should be able to navigate an EMR independently, determine why documentation is being held, identify who is responsible for the next action, and follow the item through completion.

Experience with other U.S. Home Health EMRs such as WellSky/Kinnser, Axxess, Homecare Homebase, MatrixCare, or similar systems will also be considered.

REQUIRED QUALIFICATIONS

Applicants must have:

• Minimum 2 years of recent U.S. Home Health experience
• Minimum 1 year of direct Home Health QA, OASIS review, coding, or clinical documentation review experience
• Working knowledge of OASIS
• Working knowledge of Medicare Home Health documentation requirements
• Experience reviewing Plans of Care / CMS-485
• Experience reviewing physician orders
• Experience identifying documentation deficiencies and requesting corrections
• Experience working inside a U.S. Home Health EMR
• Strong understanding of HIPAA and patient confidentiality
• Excellent written English
• Strong attention to detail
• Ability to work independently
• Ability to manage a large documentation queue without losing track of outstanding items

A nursing or clinical background is strongly preferred.

Philippine Registered Nurses (PHRN) with U.S. Home Health QA experience are strongly encouraged to apply.

HIGHLY PREFERRED

Priority consideration will be given to applicants with:

• DeVero / Netsmart experience
• 3+ years of U.S. Home Health experience
• Strong OASIS-E1 knowledge
• ICD-10 coding experience
• California Home Health Agency experience
• Medicare-certified Home Health Agency experience
• OASIS QA/reviewer experience
• Home Health coding experience
• COS-C, HCS-O, HCS-D, BCHH-C, or related certifications
• Experience communicating corrections directly with RNs, PTs, OTs, STs and other clinicians
• Experience preparing charts for billing
• Experience identifying compliance trends across multiple clinicians

PERFORMANCE EXPECTATIONS

This position is not simply about checking boxes.

We are looking for someone who can determine:

*What is wrong? Why is it wrong? Who needs to correct it? What needs to be corrected? Has the correction actually been completed? Is the chart now compliant and ready to move forward?*

The successful candidate will be expected to maintain high QA accuracy while completing reviews within established turnaround times.

Quality, accuracy, accountability, and follow-through are more important than simply processing a high number of charts.

REMOTE WORK REQUIREMENTS

Because this position handles protected U.S. healthcare information, candidates must have:

• Private and secure home workspace
• Reliable high-speed internet
• Reliable computer
• Backup internet connection
• Ability to work U.S. Pacific Time hours
• Ability to participate in video meetings and training
• Ability to follow company HIPAA, privacy, security, and access-control policies

Additional security and confidentiality requirements will apply before access to patient information is provided.

COMPENSATION

₱13,000–₱75,000 PHP per month

Final compensation will depend on:

• Home Health QA experience
• OASIS experience
• DeVero experience
• Clinical background
• Coding knowledge
• Certifications
• Ability to work independently

Exceptional candidates with advanced OASIS, coding, DeVero, or QA leadership experience may be considered above the posted range.

APPLICATION INSTRUCTIONS

Please submit your resume and briefly answer the screening questions included with this application.

In your application, please specifically identify the U.S. Home Health Agencies, outsourcing companies, or Home Health QA organizations you have supported and the EMR systems you have used.

Applicants who do not demonstrate direct U.S. Home Health experience may not receive an interview.

Job Type: Full-time

Pay: Php13,021.11 - Php75,619.47 per month

Application Question(s):

• 1. How many years of direct experience do you have working with U.S.-based Home Health Agencies?
• How many years of direct Home Health QA/OASIS review experience do you have?
• Have you personally reviewed OASIS assessments for a U.S. Home Health Agency?
• Which OASIS assessment types have you personally reviewed?
• Have you reviewed CMS-485 Plans of Care and physician orders for a U.S. Home Health Agency?
• Which Home Health EMR systems have you personally used?
• Do you have direct experience using DeVero/Netsmart?
• Are you familiar with Medicare Home Health Conditions of Participation and CMS documentation requirements?
• Do you have Home Health ICD-10 coding experience?
• Are you a Registered Nurse?
• Do you currently hold any Home Health/OASIS/coding certifications?
• What is your expected monthly compensation in PHP?

Work Location: Remote