AdminEdge

• Position: Home Health Micro QA & Clinical Education Specialist (RN)
• Job Type: Part-time (20 - 30 hours/week initially) with the expectation of transitioning to full-time (40 hours/week)
• Location: Remote (Philippines, U.S. CST daytime hours)
• Salary: $7.00 – $8.00/hour

IMPORTANT *****

Overview

We are seeking an experienced Home Health Micro QA & Clinical Education Specialist (RN) to provide detailed, visit-level clinical QA and direct education and coaching to field clinicians.

This role will be responsible for reviewing clinical documentation line by line, identifying deficiencies, ensuring patient records are complete and compliant, and helping clinicians understand how to improve their documentation going forward. The role will also support billing readiness, Additional Documentation Requests (ADRs), payroll and visit reconciliation, and overall clinical documentation quality.

The ideal candidate combines strong home health QA experience with excellent communication and coaching skills. This individual should be comfortable providing direct, constructive feedback to clinicians, identifying recurring documentation issues, and independently tracking deficiencies through resolution.

Key Responsibilities

• Conduct detailed micro-QA reviews of nursing and clinician visit notes.
• Review clinical documentation line by line for accuracy, completeness, consistency, and compliance.
• Review medication profiles for accuracy, completeness, and required updates.
• Review fall reports, infection documentation, and other required clinical records.
• Verify visit frequency against the patient's Plan of Care.
• Identify missing, incomplete, inconsistent, or noncompliant clinical documentation.
• Communicate documentation deficiencies to appropriate clinical staff and follow up until corrections are completed.
• Maintain organized QA trackers and documentation follow-up workflows for outstanding items.

Clinician Education & Coaching

• Educate clinicians on documentation deficiencies and explain the reason behind required corrections.
• Use individual QA findings as opportunities for real-time clinician education.
• Identify recurring documentation issues by clinician or across the clinical team.
• Recommend clinician-specific or team-wide education when recurring documentation patterns are identified.
• Provide direct, constructive feedback designed to reduce repeat documentation errors.
• Coach clinicians on proper documentation practices, compliance expectations, and required corrections.
• Support a culture of continuous documentation improvement and accountability.

Billing Readiness & Documentation Clearance

• Identify charts and visit documentation that have completed QA review and are cleared for billing.
• Communicate billing-ready charts and visits to the Administrator and/or Billing Department.
• Coordinate with clinical and administrative teams when documentation issues prevent billing.
• Track outstanding deficiencies until documentation is complete and ready for processing.
• Follow up on documentation issues that may delay billing clearance.

ADR Support

• Assist with Additional Documentation Requests (ADRs).
• Review patient records for completeness and identify documentation needed to support ADR responses.
• Help gather, organize, and verify required clinical documentation.
• Escalate missing or incomplete documentation that may affect timely ADR response.

Payroll & Visit Reconciliation

• Review clinician payroll logs against visits submitted and documented.
• Identify discrepancies between reported visits and completed clinical documentation.
• Follow up on inconsistencies before payroll information is finalized.
• Verify visit documentation and payroll information for accuracy.
• Submit verified payroll information to the Administrator on a biweekly basis.

Compliance & Quality Support

• Review clinical documentation for compliance with agency standards and applicable regulatory requirements.
• Help ensure patient records remain organized, complete, accurate, and audit-ready.
• Support Joint Commission readiness through consistent documentation review and follow-through.
• Communicate recurring quality or compliance concerns to the appropriate clinical leader.
• Collaborate with the Director of Nursing, QA team, clinicians, billing staff, and administrative team as needed.
• Support ongoing quality improvement efforts related to clinical documentation and compliance.

Cross-Functional & Operational Support

• Collaborate with clinical leadership and field clinicians to resolve documentation deficiencies.
• Coordinate with billing and administrative teams regarding documentation clearance and outstanding requirements.
• Maintain organized QA trackers, follow-up logs, checklists, and other operational resources.
• Help identify recurring documentation or workflow issues and contribute to process improvement efforts.
• Provide reliable follow-up on outstanding QA items and escalating unresolved concerns appropriately.
• Support additional clinical QA, education, documentation, and operational tasks based on business priorities.

Preferred Skills & Qualifications

• Active Registered Nurse (RN) license required.
• Minimum of 3+ years of home health QA or clinical documentation review experience.
• Strong experience performing detailed, visit-level review of home health nursing and clinician visit notes.
• Experience reviewing medication profiles, fall documentation, infection documentation, visit frequencies, and Plans of Care.
• Strong understanding of home health clinical documentation and compliance requirements.
• Strong ability to identify documentation deficiencies, inconsistencies, and potential compliance concerns.
• Strong written and verbal English communication skills.
• Excellent communicator with the ability to provide direct, constructive feedback to clinicians.
• Natural educator or coach who can clearly explain both the correction and the reasoning behind it.
• Highly organized and able to independently track outstanding documentation items through completion.
• Strong attention to detail and ability to identify subtle documentation inconsistencies.
• Able to manage multiple QA priorities and follow through on outstanding items.
• Ability to work independently in a remote environment.
• Reliable remote work setup with stable internet connection.

Nice-to-Have (Bonus Skills)

• QA experience within a Joint Commission-accredited organization.
• Experience training, educating, or coaching home health clinicians.
• Experience assisting with Additional Documentation Requests (ADRs).
• Experience coordinating QA clearance and documentation readiness with billing teams.
• Experience reconciling clinician visit logs with payroll records.
• Experience supporting survey readiness or audit preparation.
• Previous experience working remotely with a U.S.-based home health agency.
• Experience identifying recurring documentation issues and contributing to clinical process improvements.
• Experience developing QA trackers, checklists, SOPs, training materials, or workflow documentation.

What we offer:

• Fixed U.S. working schedule
• Fully remote role — work from anywhere
• Direct collaboration with U.S. small businesses and entrepreneurs
• Paid time off — 10 PTO days per year, plus 6 U.S. holidays off