Quality Assurance Tester Jobs in San Antonio, TX

Job Overview
We are seeking an experienced Hospice Quality Assurance and Compliance Specialist to join our team. Your approach will drive continuous improvement, uphold compliance with regulatory requirements, and foster a culture of excellence across documentation and quality control operations.

Duties

• Conduct routine clinical record reviews to ensure regulatory compliance
• Audit admissions, recertifications, CTIs, Plans of Care, HOPE assessments, and IDG documentation
• Identify documentation deficiencies and collaborate with clinical staff to ensure timely correction
• Lead and coordinate responses to ADRs, medical record requests, denials, and appeals
• Assist with survey readiness, quality improvement initiatives, and compliance education
• Monitor documentation trends and provide recommendations to reduce compliance risk

Requirements

• Proven experience in quality assurance within manufacturing environments,
• Minimum of 2 years of hospice QA/compliance experience preferred
• Strong knowledge of Medicare hospice Conditions of Participation and regulatory requirements
• Experience reviewing CTIs, Plans of Care, IDG documentation, HOPE submissions, visit notes, and clinical records
• Experience managing and responding to Additional Documentation Requests (ADRs), claim denials, audits, and appeals
• Experience preparing organizations for state surveys and accreditation reviews
• MatrixCare experience preferred
• Excellent organizational, analytical, and communication skills
• RN/LVN

We are looking for a detail-oriented professional with a strong understanding of hospice regulations, documentation standards, and audit processes who can help maintain the highest level of clinical and regulatory compliance.

Pay: $23.30 - $28.06 per hour

Experience:

• Hospice QA/Compliance: 2 years (Required)

Work Location: In person