Clinical Quality Reviewer – Home Health Coding, OASIS

Location

United States

Posted

67 days ago

Salary

0

Seniority

Senior

Bachelor Degree3 yrs expEnglish

Job Description

Clinical Quality Reviewer – Home Health Coding, OASIS

Enzo Health

• Audit OASIS-E documentation, ICD-10 codes, and plans of care for accuracy, compliance, and completeness. • AI Feedback Loop – Spot recurring error patterns, annotate edge cases, and give feedback to improve our product.

Job Requirements

  • Licensure: Active, unrestricted RN license in your state of residence.
  • Certifications: COS-C, HCS-D, HCS-O, or HCS-H.
  • Experience: 3+ years in home-health QA/OASIS review, utilization review, or clinical documentation QA.
  • Fluency with major EMRs such as HCHB, MatrixCare, Wellsky, etc.
  • Skills: Tech Savvy
  • Meticulous eye for detail and data-driven mindset.
  • Stellar written and verbal communicator who can translate clinical jargon into clear guidance.
  • Self-starter: Comfortable in a fast-moving startup environment and remote collaboration tools.
  • Reliability counts: We’re looking for nurses who can deliver the same meticulous, high‑quality reviews every time—whether it’s your first case of the day or your fiftieth.
  • Weekend support: Our agencies run seven days a week, so we ask each reviewer to pitch in for weekend shifts to keep care plans moving smoothly. Frequency of weekend shifts can be discussed further during the interview rounds.

Benefits

  • Competitive Compensation: 1099 contract position with generous per-point compensation
  • Flexibility: Lehi HQ or fully remote within the U.S.
  • Mission-Driven Culture: Work alongside passionate founders and nursing team in a collaborative, low-ego environment.

Related Categories

Related Job Pages

More Medical Reviewer Jobs

Welocalize logo

English (United States) > German (Germany) Lyric Translation Reviewer

Welocalize

Reach, Grow, and Engage Global Audiences with Multilingual Content

Medical Reviewer67 days ago
Full TimeRemoteTeam 1,001-5,000H1B Sponsor

Welo Data works with technology companies to provide datasets that are high-quality, ethically sourced, relevant, diverse, and scalable to supercharge their AI models. As a Welocalize brand, WeloData leverages over 25 years of experience in partnering with the world’s most innovative companies and brings together a curated global community of over 500,000 AI training and domain experts to offer services that span: ANNOTATION & LABELLING: Transcription, summarization, image and video classification and labeling. ENHANCING LLMs: Prompt engineering, SFT, RLHF, red teaming and adversarial model training, model output ranking. DATA COLLECTION & GENERATION: From institutional languages to remote field audio collection. RELEVANCE & INTENT: Culturally nuanced and aware, ranking, relevance, and evaluation to train models for search, ads, and LLM output. Want to join our Welo Data team? We bring practical, applied AI expertise to projects. We have both strong academic experience and a deep working knowledge of state-of-the-art AI tools, frameworks, and best practices. Help us elevate our clients' Data at Welo Data. #LI-AD1 About the Role: We are seeking bilingual language specialists to evaluate machine-translated song lyrics. The focus is on assessing the quality and accuracy of translations from English (US) to German (Germany). This is a review-only role—no rewriting or editing is required. Your feedback will directly contribute to improving automated translation systems. Key Responsibilities: - Review and assess machine-translated lyrics for meaning, fluency, and naturalness. - Provide quality ratings based on predefined evaluation criteria. - Identify issues such as mistranslations, awkward phrasing, or cultural inaccuracies. - Maintain consistent and objective judgment throughout the review process. Project Details: - Job Title: Lyric Translation Reviewer - Pay Rate: The approximate hourly rate is $17/hour - Location: Remote, Germany, US, Spain - Schedule: Flexible; Average 4 hours per day - Start Date: ASAP - Employment Type: Freelance - Project Duration: Ongoing Note: Welo Data uses state-of-the-art fraud detection systems to ensure all freelancers engaged in the project do not misrepresent their identity, location, or financial details. Required Qualifications: - Native-level or near-native proficiency in both English (US) to German (Germany). - Strong understanding of linguistic nuances, idiomatic expressions, and cultural context in both languages. - Ability to focus on detail and maintain concentration over large volumes of content. - Previous experience in translation, localization, or linguistic quality evaluation is a plus but not required. - [Nice to have] Familiarity with different music genres and lyrical styles. - [Nice to have] Experience using online evaluation tools or platforms. How to Apply: Please submit your resume to be considered for this role. You may also include a short statement highlighting any relevant experience in content evaluation, research, or analysis if you wish. This opportunity is perfect for those looking to build professional evaluation skills, gain meaningful experience, and work on a flexible schedule. Apply today and take the next step in your professional growth.

Spain + 1 moreAll locations: Spain | Germany
Job Closed
Welocalize logo

English (United States) > Chinese (Simplified) Lyric Translation Reviewer

Welocalize

Reach, Grow, and Engage Global Audiences with Multilingual Content

Medical Reviewer67 days ago
Full TimeRemoteTeam 1,001-5,000H1B Sponsor

Welo Data works with technology companies to provide datasets that are high-quality, ethically sourced, relevant, diverse, and scalable to supercharge their AI models. As a Welocalize brand, WeloData leverages over 25 years of experience in partnering with the world’s most innovative companies and brings together a curated global community of over 500,000 AI training and domain experts to offer services that span: ANNOTATION & LABELLING: Transcription, summarization, image and video classification and labeling. ENHANCING LLMs: Prompt engineering, SFT, RLHF, red teaming and adversarial model training, model output ranking. DATA COLLECTION & GENERATION: From institutional languages to remote field audio collection. RELEVANCE & INTENT: Culturally nuanced and aware, ranking, relevance, and evaluation to train models for search, ads, and LLM output. Want to join our Welo Data team? We bring practical, applied AI expertise to projects. We have both strong academic experience and a deep working knowledge of state-of-the-art AI tools, frameworks, and best practices. Help us elevate our clients' Data at Welo Data. About the Role: We are seeking bilingual language specialists to evaluate machine-translated song lyrics. The focus is on assessing the quality and accuracy of translations from English (US) to Chinese Simplified (China). This is a review-only role—no rewriting or editing is required. Your feedback will directly contribute to improving automated translation systems. Key Responsibilities: - Review and assess machine-translated lyrics for meaning, fluency, and naturalness. - Provide quality ratings based on predefined evaluation criteria. - Identify issues such as mistranslations, awkward phrasing, or cultural inaccuracies. - Maintain consistent and objective judgment throughout the review process. Project Details: - Job Title: Lyric Translation Reviewer - Pay Rate: Approximate hourly rate is between $5/hour - $5.5/hour - Location: Remote, China, US - Schedule: Flexible; Average 4 hours per day - Start Date: ASAP - Employment Type: Freelance - Project Duration: Ongoing Note: Welo Data uses state-of-the-art fraud detection systems to ensure all freelancers engaged in the project do not misrepresent their identity, location, or financial details. Required Qualifications: - Native-level or near-native proficiency in both English (US) to Chinese Simplified (China) - Strong understanding of linguistic nuances, idiomatic expressions, and cultural context in both languages. - Ability to focus on detail and maintain concentration over large volumes of content. - Previous experience in translation, localization, or linguistic quality evaluation is a plus but not required. - [Nice to have] Familiarity with different music genres and lyrical styles. - [Nice to have] Experience using online evaluation tools or platforms. How to Apply: Please submit your resume to be considered for this role. You may also include a short statement highlighting any relevant experience in content evaluation, research, or analysis if you wish. This opportunity is perfect for those looking to build professional evaluation skills, gain meaningful experience, and work on a flexible schedule. Apply today and take the next step in your professional growth.

China
Job Closed
Full TimeRemoteTeam 5,001-10,000H1B Sponsor

Do you have an eye for detail and a passion for risk assessment? Join us as a Senior Reviewer, Loss Control Surveyor, where you'll play a vital role in helping businesses stay safe and compliant! Come Join ReSource Pro! Your Role... ReSource Pro is looking for an experienced Senior Reviewer, Loss Control Surveyor to join ReSource Pro's team of auditors and surveyors. The Senior Reviewer, Loss Control Surveyor will play a critical role in ensuring the accuracy and integrity of Loss Control Surveys submitted by the surveyor team. This role acts as a final checkpoint for survey quality, provides structured feedback for improvement, and mentors surveyors on best practices and technical standards. This position supports the overall development and performance of the surveyor workforce while maintaining alignment with client-specific and internal quality standards. We hire the best because our service is only as good as the people delivering it. We’re committed to hiring individuals who engage in our amazing culture and embrace our Core Values: Commitment to Community, Teamwork, Passion for Excellence, Service-Centric, and Best Self. All remote positions are based in the United States, and candidates must reside within the U.S. to be eligible for consideration. In this role you will... - Conduct in-depth reviews of submitted Loss Control Surveys across multiple coverage lines (e.g., Workers' Compensation, General Liability, Property).​​​​​​ - Evaluate reports against internal RSP standards and client-specific guidelines to ensure completeness, consistency, and technical accuracy. - Provide clear, concise feedback on needed corrections and document required changes thoroughly. - Use tools such as CoreLogic to validate replacement costs and AUSUM or Loss Control 360 for report processing. - Complete an average of 10–20 survey reviews daily, depending on report complexity. - Escalate significant quality report concerns or recurring trends to the Senior Practice Director. - Serve as a mentor and resource for 5–15 surveyors, offering onboarding, process guidance, and professional development support. - Train on systems (e.g., Loss Control 360, AUSUM), internal standards, client expectations, and reporting best practices. - Monitor quality trends and provide coaching to improve individual and team performance. - Communicate respectfully and constructively with contractors regarding report deficiencies and expectations. - Maintain records of mentoring interactions and progress; inform leadership of any performance risks What you need to be successful... - High School Diploma or equivalent - Minimum 3 years of experience as a Loss Control Surveyor - Prior experience in QA or peer review of technical reports preferred - 1–2 years of experience mentoring or coaching peers/team members - Experience with mobile data collection systems or report platforms (CoreLogic, Loss Control 360, AUSUM) - Strong written and verbal communication - Highly organized, detail-oriented, self-motivated - Ability to work independently and exercise sound judgment - Comfortable providing feedback and coaching others Your Compensation... Our salary ranges are based on paying competitively for our size and industry, and are one part of the total compensation package that also includes annual bonus eligibility, benefits, and other opportunities at ReSource Pro. Individual pay decisions are based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity relative to other ReSource Pro employees. This is a remote position and the salary range for most locations for this role is $46,518 - $78,967 annually. The salary range may vary based on the specific geographic location in which the candidate resides.Your Benefits & Perks... - 100% paid employee health insurance available on Day 1 - Eligible for all medical, dental, and vision benefits on Day 1 - Remote positions are Internet stipend-eligible - 401k with employer match, vested on Day 1 - HSA/FSA available - Long Term and short-term disability employer-provided - Generous PTO plan with paid holidays + floating holidays - Development and growth opportunities - Comprehensive wellness program and prioritization of employee health Your Interview Process... To be considered for this position, please submit your application. If you meet the qualifications for the role, a member of our Talent Acquisition team will be in touch to schedule an interview via Zoom. The standard interview process includes: - Behavioral Interview with Talent Acquisition - Online talent assessment - Hiring Manager Interview *Additional interview steps may be added depending on the position or if further evaluation is needed. Disclosure: Candidates are evaluated at each step of the process. As a result, not every candidate will complete all steps in the process. About ReSource Pro: Focused exclusively on the insurance industry, ReSource Pro is the trusted partner insurance organizations rely on to optimize performance, streamline operations and process engineering, and drive growth. Serving 2,000+ carriers, brokers, wholesalers, and MGAs, ReSource Pro is a recognized market leader in insurance workflow optimization, data and technology services, and strategic operating model transformation. Maintaining a 96%+ client retention rate for over a decade, ReSource Pro is the only firm serving the insurance industry to have earned a spot on the Inc. 5000 list 16 times—placing it among the top 0.02% of repeat honorees across all sectors in the Inc. list’s 40+ year history. Equal Employment Opportunity Policy ReSource Pro provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

United States
$46.5K - $79.0K / year
Job Closed
Myers and Stauffer logo

RN Clinical Reviewer

Myers and Stauffer

Myers and Stauffer LC is dedicated to supporting government health and human service clients, focusing on those in need.

Medical Reviewer68 days ago
Full TimeRemoteTeam 501-1,000

#LI-HW1 #LI-Remote Myers and Stauffer LC is a certified public accounting and health and human services consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients with complex health care reimbursement and provider compliance issues, operate 21 offices and have over 900 associates nationwide. At Myers and Stauffer, you will have a career that is rewarding while also supporting our state and federal government health and human service clients that focus on those in need. We are committed to providing our employees with professional growth and development opportunities, a diverse, dynamic, challenging work environment, and a strong and visionary leadership team. Our firm takes pride in the welcoming and collaborative culture we have throughout our offices. We are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing. What We Offer: - Health, Dental, and Vision insurance along with other competitive employee benefits for eligible associates - Vacation time, sick time, and paid holidays - Paid Parental Leave and available support resources - 401K with company matching for eligible employees - Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks - A combination of technical and leadership development training at each career milestone - Up to six counseling sessions per year for eligible employees through our Employee Assistance Program We understand that changing or learning a new industry can discourage strong candidates from applying. Please do not hesitate to apply, as you may be the right fit for this position or another position we have open.

United States
$78K - $85K / year