Quality Assurance Registered Nurse
Adaptive Home Health • Remote
Posted: May 29, 2026
Job Description
Adaptive Home Health is building a higher-acuity, patient-centered home health model across Michigan. Our QA RN role is critical to that mission: you ensure clinical accuracy, regulatory compliance, and optimal reimbursement while supporting field clinicians with actionable feedback and continuous quality improvement.
Who We Are:
We build technology to better support our clinical operations and compliance teams. Our documentation and QA workflows are designed to streamline OASIS review, reduce rework, and maintain defensible, high-quality submissions.
If you have sharp clinical judgment, deep OASIS expertise, and you thrive in a remote, productivity-based environment, this role offers meaningful impact on patient outcomes and agency performance.
What you will do:
Review and validate all assigned OASIS assessments (SOC, ROC, Recert, Transfer, Discharge) for accuracy, completeness, and internal consistency
Code and sequence diagnoses per ICD-10 and CMS guidelines to ensure optimal reimbursement and quality measure alignment
Identify and correct errors impacting reimbursement, quality measures, or compliance before submission
Provide clear, actionable feedback to field clinicians when revisions are required, with a focus on education and process improvement
Ensure all OASIS submissions meet current CMS, Medicare, and payer requirements
Stay current on OASIS updates, CMS guidance, and regulatory changes; communicate relevant updates to clinical leadership
Support agency compliance with Conditions of Participation (CoPs) and internal quality standards
Identify recurring documentation trends or risk areas and contribute recommendations for clinician training and workflow optimization
Collaborate with clinical leadership to improve outcomes, reduce audit risk, and maintain defensibility
Complete assigned OASIS reviews within defined turnaround times while maintaining high accuracy standards
Communicate promptly and professionally with clinicians and leadership regarding discrepancies, missing documentation, or process improvements
Why Adaptive
Clear, performance-based comp: $35 per locked OASIS review—earn based on quality and productivity
Remote flexibility: Work from home with flexible hours designed to scale with agency census
Mission-driven impact: Directly influence patient care quality, clinician development, and agency compliance
Strong operational support: Collaborate with experienced clinical and compliance leadership
Tech-forward environment: Leverage tools designed to streamline QA workflows and reduce administrative burden
Requirements
Must-haves
Active, unrestricted Michigan RN license
Minimum 2 years of home health experience
ICD-10 Coding Certification (HCS-D or equivalent)
OASIS Certification (COS-C or equivalent)
Strong understanding of Medicare home health reimbursement and PDGM
High attention to detail and strong clinical judgment
Ability to work independently in a remote environment with minimal supervision
Excellent written and verbal communication skills
Proficiency with EMR systems (HCHB preferred) and Microsoft Office
Nice-to-haves
Prior experience in home health QA, auditing, or coding
Familiarity with Homecare Homebase (HCHB) or AXXESS
Experience working in a per-review or productivity-based role
Background in OASIS education or clinician training
Performance Expectations
Accurate and compliant OASIS reviews with minimal rework
Consistent turnaround times aligned with agency workflow needs
Clear, professional, and constructive communication with clinicians and leadership
Ongoing adherence to quality and compliance standards
Proactive identification of trends and process improvement opportunities
Physical & Technical Requirements
Ability to work at a computer for extended periods
Reliable high-speed internet access and secure, HIPAA-compliant workspace
Proficiency with EMR systems, Microsoft Office, and virtual communication tools (Slack, Zoom, etc.)
Equal Opportunity We are an equal opportunity employer and value diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Additional Content
Adaptive Home Health is building a higher-acuity, patient-centered home health model across Michigan. Our QA RN role is critical to that mission: you ensure clinical accuracy, regulatory compliance, and optimal reimbursement while supporting field clinicians with actionable feedback and continuous quality improvement.
Who We Are:
We build technology to better support our clinical operations and compliance teams. Our documentation and QA workflows are designed to streamline OASIS review, reduce rework, and maintain defensible, high-quality submissions.
If you have sharp clinical judgment, deep OASIS expertise, and you thrive in a remote, productivity-based environment, this role offers meaningful impact on patient outcomes and agency performance.
What you will do:
Review and validate all assigned OASIS assessments (SOC, ROC, Recert, Transfer, Discharge) for accuracy, completeness, and internal consistency
Code and sequence diagnoses per ICD-10 and CMS guidelines to ensure optimal reimbursement and quality measure alignment
Identify and correct errors impacting reimbursement, quality measures, or compliance before submission
Provide clear, actionable feedback to field clinicians when revisions are required, with a focus on education and process improvement
Ensure all OASIS submissions meet current CMS, Medicare, and payer requirements
Stay current on OASIS updates, CMS guidance, and regulatory changes; communicate relevant updates to clinical leadership
Support agency compliance with Conditions of Participation (CoPs) and internal quality standards
Identify recurring documentation trends or risk areas and contribute recommendations for clinician training and workflow optimization
Collaborate with clinical leadership to improve outcomes, reduce audit risk, and maintain defensibility
Complete assigned OASIS reviews within defined turnaround times while maintaining high accuracy standards
Communicate promptly and professionally with clinicians and leadership regarding discrepancies, missing documentation, or process improvements
Why Adaptive
Clear, performance-based comp: $35 per locked OASIS review—earn based on quality and productivity
Remote flexibility: Work from home with flexible hours designed to scale with agency census
Mission-driven impact: Directly influence patient care quality, clinician development, and agency compliance
Strong operational support: Collaborate with experienced clinical and compliance leadership
Tech-forward environment: Leverage tools designed to streamline QA workflows and reduce administrative burden
Requirements
Must-haves
Active, unrestricted Michigan RN license
Minimum 2 years of home health experience
ICD-10 Coding Certification (HCS-D or equivalent)
OASIS Certification (COS-C or equivalent)
Strong understanding of Medicare home health reimbursement and PDGM
High attention to detail and strong clinical judgment
Ability to work independently in a remote environment with minimal supervision
Excellent written and verbal communication skills
Proficiency with EMR systems (HCHB preferred) and Microsoft Office
Nice-to-haves
Prior experience in home health QA, auditing, or coding
Familiarity with Homecare Homebase (HCHB) or AXXESS
Experience working in a per-review or productivity-based role
Background in OASIS education or clinician training
Performance Expectations
Accurate and compliant OASIS reviews with minimal rework
Consistent turnaround times aligned with agency workflow needs
Clear, professional, and constructive communication with clinicians and leadership
Ongoing adherence to quality and compliance standards
Proactive identification of trends and process improvement opportunities
Physical & Technical Requirements
Ability to work at a computer for extended periods
Reliable high-speed internet access and secure, HIPAA-compliant workspace
Proficiency with EMR systems, Microsoft Office, and virtual communication tools (Slack, Zoom, etc.)
Equal Opportunity We are an equal opportunity employer and value diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.