Fira Health Logo

Fira Health

LVN/LPN QA Specialist - Weekends Only

Posted 2 Days Ago
Be an Early Applicant
Remote or Hybrid
Hiring Remotely in USA
25-32 Hourly
Junior
Remote or Hybrid
Hiring Remotely in USA
25-32 Hourly
Junior
Reviews home health assessments for accuracy, completeness, reimbursement impact, and regulatory compliance. Identifies documentation errors, provides actionable clinician feedback, supports Medicare and PDGM compliance, and contributes to quality improvement, training, audit-risk reduction, and workflow optimization. Works remotely on weekends while meeting turnaround and accuracy expectations.
The summary above was generated by AI

Job Description

  • Role: Home Health Quality Assurance LPN/LVN (QA LPN - Weekends)

  • Comp: $ 25-32

  • Schedule: Remote, Sat/Sun

  • Location: Remote

Adaptive Home Health is building a higher-acuity, patient-centered home health model across Texas. Our QA LPN/LVN 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 reduce rework, and maintain defensible, high-quality submissions.

If you have sharp clinical judgment and you thrive in a remote, productivity-based environment, this role offers meaningful impact on patient outcomes and agency performance.

What will you do:

  • Review and validate all assigned assessment (SOC, ROC, Recert, Transfer, Discharge) for accuracy, completeness, and internal consistency

  • 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

  • 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 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: $25-$32

  • Remote flexibility: Work from home with flexible hours

  • 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 LPN or LVN

  • Minimum 2 years of home health experience

  • 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

Performance Expectations

  • Accurate and compliant 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.

Similar Jobs

44 Seconds Ago
In-Office or Remote
Senior level
Senior level
Insurance • Financial Services
Administer Workday ERP and Trintech reconciliation platforms, including configuration, access, matching rules, file transfers, troubleshooting, and user support. Perform bank and general ledger reconciliations, resolve discrepancies and suspense items, maintain SOX compliance, and support audits. Train users, review reconciliation work, liaise with banking partners, implement improvements, and assist with staff evaluations and workflow prioritization.
Top Skills: Data IntegrationFile Transmission ProcessesExcelTrintechWorkday Erp
7 Minutes Ago
In-Office or Remote
119K-170K Annually
Senior level
119K-170K Annually
Senior level
Artificial Intelligence • Cloud • Fintech • Information Technology • Insurance • Financial Services • Big Data Analytics
Oversee field and general office budgeting, occupancy and lease financial activities, rent and expense analysis, agency meeting budgets, and financial reporting. Partner with field teams, real estate, legal, vendors, and consultants to monitor spending, maintain lease records, resolve issues, and support decision-making. Coordinate deliverables, review financial processes, and develop remediation plans while supporting ad hoc initiatives.
Top Skills: AnaplanOne View Leasing AdminSAPTableau
7 Minutes Ago
Remote
Connecticut, USA
50K-60K Annually
Senior level
50K-60K Annually
Senior level
Artificial Intelligence • Cloud • Fintech • Information Technology • Insurance • Financial Services • Big Data Analytics
Investigate and administer life insurance claims, determine customer eligibility, apply contractual and legal provisions, and process covered payments up to $60,000. Communicate claim decisions and status updates to customers, beneficiaries, employers, and business partners through phone and email. Gather and analyze information, identify necessary medical records, meet processing and performance standards, follow compliance procedures, and manage high claim volumes and changing priorities.
Top Skills: ExcelMicrosoft OutlookMicrosoft PowerpointMicrosoft SharepointMicrosoft TeamsMicrosoft Word

What you need to know about the Austin Tech Scene

Austin has a diverse and thriving tech ecosystem thanks to home-grown companies like Dell and major campuses for IBM, AMD and Apple. The state’s flagship university, the University of Texas at Austin, is known for its engineering school, and the city is known for its annual South by Southwest tech and media conference. Austin’s tech scene spans many verticals, but it’s particularly known for hardware, including semiconductors, as well as AI, biotechnology and cloud computing. And its food and music scene, low taxes and favorable climate has made the city a destination for tech workers from across the country.

Key Facts About Austin Tech

  • Number of Tech Workers: 180,500; 13.7% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Dell, IBM, AMD, Apple, Alphabet
  • Key Industries: Artificial intelligence, hardware, cloud computing, software, healthtech
  • Funding Landscape: $4.5 billion in VC funding in 2024 (Pitchbook)
  • Notable Investors: Live Oak Ventures, Austin Ventures, Hinge Capital, Gigafund, KdT Ventures, Next Coast Ventures, Silverton Partners
  • Research Centers and Universities: University of Texas, Southwestern University, Texas State University, Center for Complex Quantum Systems, Oden Institute for Computational Engineering and Sciences, Texas Advanced Computing Center

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account