LVN/LPN QA Specialist - Weekends Only

Adaptive Home Health • Houston, TX

6d • $25 - $32 • Remote

About The Position

Adaptive Home Health is hiring a remote Home Health Quality Assurance LPN/LVN to support its higher-acuity, patient-centered home health model across Texas. The role ensures clinical accuracy, regulatory compliance, and optimal reimbursement while providing field clinicians with actionable feedback and supporting continuous quality improvement. The work is remote and scheduled for Saturday and Sunday, with flexible hours in a productivity-based environment.

The QA LPN/LVN reviews home health assessments and documentation, identifies issues that may affect reimbursement, quality measures, or compliance, and communicates required revisions to clinicians. The position also supports compliance with Conditions of Participation and internal quality standards, identifies recurring documentation risks, and collaborates with clinical leadership to improve outcomes, reduce audit risk, and maintain defensible submissions. Compensation is listed as $25–$32.

Requirements

• Active, unrestricted LPN or LVN license.
• At least 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 and Microsoft Office.
• Ability to work at a computer for extended periods.
• Reliable high-speed internet access and a secure, HIPAA-compliant workspace.
• Proficiency with virtual communication tools such as Slack and Zoom.

Nice To Haves

• Prior experience in home health quality assurance, auditing, or coding.
• Familiarity with Homecare Homebase (HCHB) or AXXESS; HCHB is preferred.
• Experience in a per-review or productivity-based role.

Responsibilities

• Review and validate assigned SOC, ROC, recertification, transfer, and discharge assessments for accuracy, completeness, and internal consistency.
• Identify and correct errors affecting reimbursement, quality measures, or compliance before submission.
• Provide clear, actionable feedback to field clinicians when revisions are needed, emphasizing education and process improvement.
• Support agency compliance with Conditions of Participation (CoPs) and internal quality standards.
• Identify recurring documentation trends and 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, and process improvements.

Benefits

• Remote flexibility and work-from-home arrangement with flexible hours.
• Performance-based compensation of $25–$32.
• Opportunity to influence patient care quality, clinician development, and agency compliance.
• Collaboration with experienced clinical and compliance leadership.
• Technology designed to streamline QA workflows and reduce administrative burden.

What This Job Offers

• Job Type: Part-time
• Education Level: No Education Listed