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.
Skills Required
- Active, unrestricted LPN or LVN license
- 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
- Proficiency with Microsoft Office
- 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
- Ability to work at a computer for extended periods
- Reliable high-speed internet access and secure, HIPAA-compliant workspace
- Proficiency with virtual communication tools such as Slack and Zoom
What We Do
Fira Health is building an AI-enabled, AI-native physical care platform, starting with home health. They develop clinical software and agentic AI tools to transform administrative workflows, helping agencies reduce administrative burden, get paid faster, and focus more on patient care.







