QAPI RN- Home Healthcare

Note: Please apply only if you have a Valid D.C. RN License

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 QAPI RN 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.

Qualifications

Required

• Active RN or LPN license in the District of Columbia, in good standing.
• Current BLS/CPR certification.
• 1–2+ years of recent clinical experience (home health, med‑surg, primary care, or similar).
• EMR proficiency and strong Microsoft 365 skills (Outlook, Teams, Word, Excel).
• Excellent communication, organization, and follow‑through.

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.

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.

Note

This job description is intended to describe the general nature and level of work. It is not an exhaustive list of all responsibilities, duties, and skills required.

Pay: $75,000.00 - $90,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

License/Certification:

• D.C. RN License (Required)

Work Location: In person