--- title: Remote Home Health QA Specialist at Nestmed description: Nestmed is hiring for the Home Health QA Specialist role. Pays $25–$30 per hour. Full-time, remote role. See the full description and apply. type: job url: https://www.foundrole.com/jobs/home-health-qa-specialist-at-nestmed-01a16467-1a81-7959-944a-d3a3882ed99a date: 2026-11-15T01:26:44Z og_description: Join Nestmed as Home Health QA Specialist. Pays $25–$30 per hour. Full-time, remote role. See the full description and apply. og_image: https://www.foundrole.com/og/a4jluc.png breadcrumbs: - label: Home url: https://www.foundrole.com/ - label: Search url: https://www.foundrole.com/jobs --- | | | |---|---| | **Company** | Nestmed | | **Location** | Remote | | **Salary** | $25/hr - $30/hr | | **Type** | Full Time, Part Time | | **Posted** | Oct 22, 2026 | ## Remote check **Fully remote: passed our check.** The role itself is remote, with no recurring office days, travel under 10%, no on-site duties and no end date on the remote setup. - "Location: Remote (U.S.)" **Where you can work from:** United States ## Is this job real? **Ghost job check:** A- · Low risk. Probably a real opening. ## Visa sponsorship - **H-1B:** No H-1B sponsorship on record for Nestmed. - **E-Verify:** No E-Verify enrollment on record for Nestmed. ## Pay for similar jobs Most similar jobs pay $54,000 – $133,000 a year (median $76,000). ## Description Nestmed is building the AI-native operating system for post-acute care. Millions of Americans get care at home every year. The agencies delivering it run on decades-old software, disconnected tools, phone calls, and faxes, with nothing that ties the work together. We started with the hardest piece: understanding what actually happens in the visit. Now we're building everything on top of it, so an entire agency runs on one intelligent system. 7 of the 10 largest home health companies in the US already run on Nestmed, across hundreds of thousands of visits a day. We closed our Series A, backed by investors including Max Levchin, co-founder of PayPal, and veterans of the home care industry. **Location: Remote (U.S.)** **Role type: Hourly contract (part time/full time)** Are you a detail oriented home health medical coding reviewer? Are you passionate about ICD-10 coding and OASIS? If yes, this is the role for you! ## The Role You will be responsible for completing assigned Home Health QA reviews accurately, timely, and in alignment with company standards, client expectations, ICD-10-CM coding guidelines, OASIS guidance, payer requirements, AI supported workflow expectations, and internal quality protocols. The QA Specialist is expected to demonstrate strong clinical documentation review skills, maintain applicable certifications, support accurate OASIS outcomes, and work effectively in an AI enabled review environment. ## What You'll Do **Own your queue.** Complete assigned Home Health reviews against your quota, prioritizing AI routing queues, holds, and anything management flags as urgent — within turnaround time, with delays or access issues flagged the moment you spot them. **Validate the coding.** Check ICD-10-CM accuracy, sequencing, specificity, and guideline compliance: primary and secondary diagnoses, symptom and manifestation codes, etiology/manifestation pairing, laterality, encounter type, and whether the documentation actually backs up what's been coded. **Hold OASIS to the record.** Confirm every OASIS response is clinically supported, internally consistent, and matches CMS guidance — cross-referencing the comprehensive assessment, referral, physician documentation, therapy notes, wound care, medications, and hospital records. No copy-forward answers. **Know where the risk lives.** Give the closest attention to the items that move outcomes: GG items and functional status, M1800 ADLs, cognition, pain, dyspnea, falls, wounds, medication management, hospitalization risk, and discharge disposition. **Flag what's missing, clearly.** When documentation is incomplete, unsigned, unclear, or contradictory, put the chart on hold or escalate it — and write the QA comment specific enough that a coder, clinician, or client can act on it without calling you to ask what you meant. **Push back on the AI, then feed it forward.** Review AI-generated coding, OASIS, and documentation suggestions with your own clinical judgment instead of deferring to them. When you spot a pattern — recurring errors, missed cues, a gap in the workflow — report it through the approved channel; your corrections are training data. **Keep the record airtight.** Maintain HIPAA compliance and confidentiality across patient, client, and AI workflow data, and stay on top of the tracking, hold notes, and certification paperwork the role requires — including telling management immediately if a certification lapses. **Keep improving.** Maintain your quality score, take secondary review and audit feedback without defensiveness, and show up for the training and calibration sessions that keep the team's interpretation consistent. ## What You'll Bring - Real home health chart review experience — you know what a comprehensive assessment, a physician's note, and a therapy record are supposed to say, and you notice when they don't agree - Active or in-progress OASIS certification — HCS-O, COS-C, or another Nestmed-approved credential (in-progress is fine if you're working toward it on a defined timeline) - A current, applicable ICD-10-CM coding credential, HCS-D, BCHH-C, CPC, RHIT - Comfort working inside an AI-assisted workflow: critical enough to catch what the model misses, not so skeptical you ignore what it gets right - Writing tight enough that a QA comment doesn't need a follow-up conversation - The discipline to escalate instead of guess when a chart doesn't clearly support an answer ## Certification Expectations **OASIS** HCS-O, COS-C, or another company-approved OASIS certification. May be required at hire or obtained within a management-approved timeframe. **Coding** Current applicable coding credential, per company standards and client scope. ## **Interview Process** - Knowledge check quiz/assignment - Call with our Recruiter - Final Round with Hiring Manager! If you want to build the system an entire healthcare industry runs on, we'd love to hear from you. ## Skills - Highway Capacity Software (Hcs) - OASIS (Outcome and Assessment Information Set) - Home Health Care - Artificial Intelligence - Document Review - Icd-10 Coding - Registered Health Information Technician - Medical Chart Review - Quality Assurance - Communication - Writing - OASIS Certification (Home Health) ## Related - [Manufacturing & Production jobs](https://www.foundrole.com/careers/manufacturing-and-production?utm_source=ai_markdown)- [Quality Control jobs](https://www.foundrole.com/careers/manufacturing-and-production/quality-control?utm_source=ai_markdown)- [Quality Assurance Specialist jobs](https://www.foundrole.com/careers/manufacturing-and-production/quality-control/quality-assurance-specialist?utm_source=ai_markdown)- [Browse all companies](https://www.foundrole.com/companies?utm_source=ai_markdown) ## Related pages - [Software Products](https://www.foundrole.com/sectors/technology/software-products?utm_source=ai_markdown) — 118920 jobs - [Kentucky](https://www.foundrole.com/locations/us/kentucky?utm_source=ai_markdown) — 27491 jobs ## Browse - [Companies](https://www.foundrole.com/companies?utm_source=ai_markdown) - [Jobs by country](https://www.foundrole.com/locations?utm_source=ai_markdown) - [Jobs in the United States by state and city](https://www.foundrole.com/locations/us?utm_source=ai_markdown) - [H1B sponsors by location](https://www.foundrole.com/h1b-sponsors?utm_source=ai_markdown) - [H1B salaries](https://www.foundrole.com/h1b-salaries?utm_source=ai_markdown) - [Sectors and industries](https://www.foundrole.com/sectors?utm_source=ai_markdown) - [Jobs by career field](https://www.foundrole.com/careers?utm_source=ai_markdown) - [Latest jobs](https://www.foundrole.com/jobs/latest?utm_source=ai_markdown)