Adaptive Home Health

Review and validate OASIS assessments for accuracy and compliance while coding diagnoses per ICD-10 and CMS guidelines. Provide actionable feedback to field clinicians to improve documentation quality and ensure optimal reimbursement.

Conduct pre- and post-acquisition EMR diligence to identify clinical risks, billing gaps, and regulatory exposure. Partner with branch leadership to implement corrective action plans and train staff on clinical SOPs and technology workflows.

The Clinical Quality Manager provides remote clinical backbone support by managing EMR workflows, approving orders, and ensuring regulatory and billing compliance. They are responsible for monitoring patient status flags, managing hospital holds, and conducting quality assurance audits to reduce administrative burdens on field teams.