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Home health • worcester ma
Home Health QA Coordinator
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Job Description
Job Description
Position Summary
Acclaim Home Health is seeking an experienced QA Coordinator to oversee and ensure the accuracy, compliance, and quality of clinical documentation in accordance with state, federal, and payer regulations. The QA Coordinator plays a critical role in supporting high-quality patient care by reviewing OASIS assessments, ensuring accurate coding, and promoting regulatory compliance and best practices across the organization.
Key Responsibilities
Review OASIS assessments for accuracy, completeness, and compliance with CMS guidelines
Ensure correct clinical coding (ICD-10) and documentation consistency
Identify trends, errors, and risk areas; provide feedback and education to clinical staff
Collaborate with clinicians, leadership, and billing to improve documentation quality and outcomes
Monitor compliance with Medicare Conditions of Participation and other regulatory requirements
Assist with audits (internal and external) and performance improvement initiatives
Stay current on OASIS updates, coding changes, and regulatory requirements
Qualifications
OASIS Certification required
Proven coding experience , including ICD-10 coding in a home health setting
Prior experience in home health quality assurance, clinical review, or utilization review preferred
Strong knowledge of Medicare regulations and home health compliance standards
Excellent attention to detail and analytical skills
Strong communication and collaboration skills
Ability to work independently and manage multiple priorities
Preferred Credentials
RN, LVN / LPN, or other licensed clinical background (preferred but not required, if applicable)
Previous experience with QA audits and performance improvement programs
Why Join Acclaim Home Health?
At Acclaim Home Health, we are committed to delivering exceptional patient-centered care while supporting our team members with a positive and professional work environment.
Acclaim Home Health is an Equal Opportunity Employer (EEO). We celebrate diversity and are committed to creating an inclusive environment for all employees.