QA Specialist

About the role

This role serves as a high-level clinical quality and training leader within the Coding & OASIS review space. It goes beyond day-to-day quality checks and focuses on elevating reviewer performance, supporting client onboarding, aligning processes across teams, and partnering closely with both stateside and offshore reviewers. Acting as a key resource to managers, clients, and Quality Assurance Reviewers (QARs), this role ensures consistent quality outcomes, strong operational alignment, and a seamless reviewer experience across all supported programs.

Responsibilities

• Oversee Coding & OASIS staff competency to ensure accuracy, consistency, and compliance with guidelines.
• Develop and deliver new-hire orientation and ongoing training, including client-specific processes and updates.
• Conduct Quality Assurance (QA) reviews, document findings, identify trends, and collaborate closely with QARs performing day-to-day QA.
• Serve as the expert resource for complex Coding & OASIS questions and maintain updated knowledge resources.
• Partner with managers, clients, and internal teams to support client onboarding, quality discussions, and process alignment.
• Work collaboratively with both stateside and offshore (India-based) review teams to support training, quality standards, and workflow consistency.
• Test and provide feedback on McBee Clinical Review platform functionality.
• Communicate quality concerns to all appropriate stakeholders and support resolution actions.

Required Qualifications

• At least 4 years of experience in Coding & OASIS review
• HCS-D certification and HCS-O or COS-C OASIS certification
• Expert in ICD-10 coding and OASIS guidelines
• Proficient in home health industry regulations and guidelines
• Excellent communication and presentation skills
• Working knowledge of Microsoft Office

Preferred Qualifications

• Advanced clinical degree
• Active clinical license (e.g., RN, PT, OT, SP)
• CPHQ certification
• HCS-H certification