Home Health QA Specialist
Nestmed · Remote · Remote · Eastern or Cental Standard Time (United States) ·
COMPENSATION
€•• – ••k
Listed on the employer's job board (Ashby)
- Remote (U.S. only)
- Hourly contract
- ICD-10 & OASIS focus
- AI-assisted workflow
- Healthcare QA
Nestmed is developing an AI-native operating system for home health agencies, currently used by seven of the ten largest companies in the sector. The team aims to replace disconnected legacy tools with a unified intelligent system that tracks patient visits and outcomes.
As a QA Specialist, you will validate ICD-10 coding and OASIS assessments against clinical records. You will work in an AI-enabled environment, correcting model suggestions and ensuring compliance with CMS guidelines and payer requirements.
What you'll do
- Complete assigned home health reviews within quota and turnaround time targets
- Validate ICD-10-CM accuracy, sequencing, and guideline compliance
- Confirm OASIS responses are clinically supported and consistent with CMS guidance
- Review high-risk items including functional status, cognition, and wound care
- Escalate incomplete or contradictory documentation with clear, actionable comments
- Evaluate AI-generated coding suggestions and report recurring error patterns
- Maintain HIPAA compliance and keep all certifications current
What you'll need
- Experience reviewing home health charts, including assessments and therapy notes
- Active or in-progress OASIS certification such as HCS-O or COS-C
- Current ICD-10-CM coding credential like HCS-D, BCHH-C, CPC, or RHIT
- Ability to work critically within an AI-assisted workflow
- Strong written communication skills for clear QA documentation
- Discipline to escalate issues rather than guessing when data is unclear
How you'll work
- Fully remote position restricted to candidates located in the United States
- Hourly contract arrangement with part-time or full-time availability
- Requires maintaining specific clinical certifications throughout employment
Hiring process
- Initial knowledge check quiz or assignment
- Screening call with a recruiter
- Final interview round with the hiring manager