Urgent: Home Health QA Nurse

Lead a High-Performing QA Team Supporting U.S. Home Health Patients

Are you an experienced home healthcare professional with strong Quality Assurance (QA) knowledge and a passion for developing people

Tender Home Health is a growing Medicare-certified Home Health agency based in California. We are looking for an experienced Medical Quality Assurance Team Lead to supervise our QA and Billing team while ensuring accurate documentation, Medicare compliance, and maximum reimbursement.

If you're looking for a stable long-term career with a U.S. healthcare company that values leadership, continuous learning, and professional growth, we'd love to meet you.

Why Join Tender Home Health

At Tender, our people come first. We believe that great companies are built by investing in great employees.

When you join our team, you'll become part of a collaborative culture where your ideas matter, your work is recognized, and your career can continue to grow.

What We Offer

• Permanent Work From Home
• Competitive salary
• Monthly performance bonuses
• Paid holidays
• Paid Time Off
• Career advancement opportunities
• Ongoing training and professional development
• Stable employment with a growing U.S. healthcare organization

Position Summary

As the Medical Quality Assurance Team Lead, you will oversee a team responsible for reviewing Home Health documentation, improving chart quality, supporting Medicare billing, and reducing claim denials.

You will coach team members, solve complex billing issues, collaborate with our U.S. clinical staff, and continuously improve operational processes that support patient care and reimbursement.

This role combines leadership, quality assurance, Medicare billing, and process improvement.

The work hours are US Pacific time, 9:00 am to 6:00 pm Monday to Friday.

What You'll Do

Your typical responsibilities will include:

Team Leadership

• Lead, coach, and develop the Quality Assurance team
• Assign daily workloads and monitor team productivity
• Provide ongoing training, mentoring, and performance feedback
• Remove obstacles that prevent team members from achieving their goals
• Build a culture of accountability, collaboration, and continuous improvement

Quality Assurance

• Review Home Health medical records for accuracy and completeness
• Audit clinical documentation to ensure compliance with Medicare regulations
• Identify documentation deficiencies and work with clinicians to resolve them
• Perform ongoing chart audits to improve documentation quality
• Track trends and recommend process improvements

Medicare Billing & Reimbursement

• Review documentation to maximize Medicare reimbursement
• Analyze billing rejections and identify root causes
• Resolve Medicare claim issues and payment discrepancies
• Research ICD-10 coding questions and reimbursement regulations
• Appeal low reimbursements and outlier payment determinations
• Help reduce billing errors and improve claim acceptance rates

Collaboration

• Drive clinicians and operational team members to complete tasks to enable QA to complete notes
• Partner with U.S.-based nurses, therapists, and operations leaders
• Create reports that monitor quality metrics and team performance
• Support initiatives that improve operational efficiency and patient outcomes

Qualifications

Required

• Active Registered Nurse (RN) or Licensed Vocational Nurse (LVN)
• Strong Home Health experience
• Expert knowledge of Medicare Home Health documentation
• Experience leading remote healthcare teams
• Advanced understanding of ICD-10 coding
• Experience researching Medicare billing denials and claim rejections
• Experience working with Electronic Medical Record (EMR) systems – Wellsky (Kinnser)
• Advanced Microsoft Office Suite skills (Specifically Excel)
• Strong analytical and problem-solving abilities
• Excellent written and verbal English communication skills
• Previous experience working for a U.S. healthcare organization

Preferred

• Bachelor's degree
• Experience with process improvement initiatives

What Makes You Successful

You enjoy solving difficult problems, coaching others, and improving processes.

You pay close attention to detail while keeping the bigger picture in mind. You take ownership of your work, communicate professionally, and enjoy helping your team succeed.

Most importantly, you are committed to continuous learning and delivering high-quality work every day.

What Success Looks Like

Within your first 90 days, you will:

• Build strong relationships with your QA team and U.S. clinical partners
• Become an expert in Tender's QA and Medicare billing workflows
• Improve team productivity and documentation quality
• Reduce billing errors and Medicare claim rejections
• Coach team members to consistently achieve performance goals
• Identify opportunities that improve efficiency across the department

Join Tender Home Health

If you're looking for more than just your next job—and want to build a long-term career with a growing U.S. healthcare company—we encourage you to apply.

Join Tender Home Health and help us improve the quality of care for patients while leading a team dedicated to excellence.