Home Health Physical Therapy Quality Assurance Reviewer

Compassionate Home Health Ltd•Roseville, CA

4d•$40 - $50

About The Position

Compassionate Home Health LTD is seeking an experienced, California-licensed Physical Therapist for a full-time Home Health Physical Therapy Quality Assurance Reviewer role in the Greater Sacramento Area. The reviewer evaluates physical therapy documentation and OASIS assessments for accuracy, consistency, medical necessity, and compliance, working with agency leadership and the Skilled Nursing, Physical Therapy, and Home Health Aide teams to support complete records, quality patient care, and readiness for Medicare and ACHC review. The reviewer evaluates records and provides findings or recommendations. The treating therapist remains responsible for the clinical assessment, treatment decisions, and documentation of care provided.

Requirements

Current, unrestricted California Physical Therapist license.
Recent physical therapy experience in home health.
Strong knowledge of home health documentation, OASIS, Medicare home health eligibility, and CMS Conditions of Participation.
Experience reviewing plans of care, skilled need, homebound support, functional goals, treatment plans, and discharge documentation.
Excellent clinical judgment, written communication, organization, and attention to detail.
Ability to provide timely, constructive feedback and manage review deadlines.

Nice To Haves

Knowledge of ACHC standards and survey-readiness practices.
OASIS or home health quality review training or certification.

Responsibilities

Review PT evaluations, reassessments, treatment notes, discharge summaries, plans of care, and physician orders for completeness and clinical consistency.
Review OASIS assessments, including therapy-related items, for consistency with the patient’s documented status and the assessing clinician’s findings.
Confirm records support the need for skilled physical therapy, the treatment plan, measurable goals, interventions, frequency, and duration.
Review documentation for support of homebound status, medical necessity, functional limitations, patient response, progress, and continued skilled need.
Check that diagnoses, coding, severity, and functional findings align with the available clinical record and applicable guidance.
Identify missing, conflicting, or unclear documentation and communicate recommendations or correction requests to the responsible clinician.
Review documentation for alignment with Medicare home health requirements, CMS Conditions of Participation, current OASIS guidance, and ACHC standards.
Help prepare records for ADRs, pre-claim review, and other payer or regulatory reviews, as assigned.
Track findings, correction requests, and recurring documentation trends.
Provide practical education and feedback to PTs, PTAs, and other team members on documentation quality and compliance.
Participate in quality improvement activities and support audit and survey readiness.
Protect patient confidentiality and follow agency policies and applicable privacy requirements.