Quality Analyst-Home Health

Quality Analyst-Home Health# Quality Analyst-Home Health## OverviewSalary Range$75,000.00 - $90,000.00## Description**About Direct Care Home Health Services**Direct Care Home Health Services is a mission-driven home health agency serving pediatric and adult clients across Washington, DC. We combine compassionate, human-centered care with technology-enabled coordination to improve outcomes, strengthen compliance, and keep care safe at home.**Position Summary**The Quality Analyst supports the agency’s quality assurance, performance improvement, and documentation compliance efforts across home health operations. This role reviews clinical and administrative records for accuracy, completeness, and timeliness; tracks deficiencies and trends; supports survey readiness; and partners with Clinical Services, Intake, Billing, EVV, and Operations to strengthen workflows and improve outcomes. The Quality Analyst plays a key role in ensuring documentation supports regulatory compliance, payer requirements, and high-quality patient care.**Schedule**Full-time; Monday–Friday during business hours with occasional overtime as needed for audits, month-end deadlines, or survey preparation activities.**Key Responsibilities****Chart Audits & Documentation Review*** Review clinical records, visit notes, physician orders, plans of care, OASIS-related documentation, and administrative documents for accuracy, completeness, signatures, and timeliness.* Identify deficiencies such as missing signatures, incomplete notes, order discrepancies, documentation inconsistencies, and items affecting billing readiness.* Maintain audit logs, compliance trackers, and correction worklists; assign and follow up on deficiencies until resolved.**Quality Assurance & Compliance Support*** Support compliance with Medicare/Medicaid requirements, CMS Home Health Conditions of Participation (CoPs), DC DOH standards, and internal policies.* Assist with pre-billing quality checks, internal audits, and documentation validation to reduce denials and recoupments.* Prepare charts, reports, and supporting materials for payer audits, accrediting bodies, and regulatory surveys.**Performance Improvement & Data Tracking*** Track and trend quality metrics such as documentation timeliness, correction completion rates, OASIS timeliness, SOC timeliness, missed visit documentation, and recurring error patterns.* Develop routine reports and dashboards for leadership to highlight quality issues, compliance risk, and improvement opportunities.* Participate in QAPI activities by documenting action plans, monitoring progress, and supporting root-cause analysis for recurring problems.**Cross-Functional Collaboration*** Partner with Clinical Managers, Director of Clinical Services, Intake, Scheduling, EVV, and Billing to resolve documentation deficiencies that impact care, compliance, and revenue cycle flow.* Communicate clearly with clinicians and office staff regarding corrections, deadlines, and recurring charting issues.* Support process standardization by helping update forms, workflows, checklists, and training materials.**Education & Continuous Improvement*** Assist with orientation support, refresher training, and one-on-one coaching related to documentation quality and workflow expectations.* Provide feedback on common audit findings and opportunities to improve accuracy, consistency, and turnaround time.* Promote a culture of accountability, readiness, and continuous improvement aligned with agency values.**Benefits*** Medical, dental, vision.* Paid time off and paid holidays.* Paid Sick Leave**Pay Range**$75,000 – $90,000 annual salary based on experience, skills, and scope of responsibilities.**EEO Statement**Direct Care Home Health Services is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.## Qualifications**Required*** Bachelors degree or equivalent experience in healthcare administration, nursing support, health information management, or a related field. Master’s Degree preferred.* 2+ years of experience in home health QA, medical records, intake, clinical coordination, or healthcare compliance support.* Strong working knowledge of documentation workflows, physician order processes, and audit readiness principles.* Proficiency with EMR systems and Microsoft 365 (Outlook, Teams, Word, Excel).* Strong attention to detail, organization, and follow-through with ability to manage multiple priorities.**Preferred*** Home health experience with knowledge of OASIS-related workflows and Medicare/Medicaid documentation requirements.* Experience with EVV workflows and understanding of billing implications tied to documentation errors or visit verification issues.* Familiarity with DC Medicaid/MCO processes and payer audit expectations.* Bilingual or multilingual skills.**Core Competencies*** Strong analytical thinking and attention to detail.* Accuracy and consistency in documentation review and follow-up.* Clear, professional written and verbal communication.* Ability to work collaboratively across clinical and administrative teams.* Integrity, confidentiality, and a compliance-oriented mindset.**Physical & Work Environment Requirements*** Office-based role with frequent computer/phone use; ability to sit for extended periods.* Occasional lifting up to 20 lbs (files, supplies, audit binders).**Compliance & Health Requirements*** Background check and employment eligibility verification.* Health clearance per agency policy (e.g., TB screening, immunizations).* Annual competencies and mandatory trainings. #J-18808-Ljbffr Direct Care