Physical Therapy QA (Home Health)

• PT QA (Full- Time)
• Department: Clinical Quality/Rehabilitation QA
• Employment Type: Full-time
• Location: Parañaque City - On-site.
• Reports to: Clinical Supervisor/Nursing Supervisor

Job Overview

The Physical Therapy QA Reviewer is responsible for reviewing and ensuring the accuracy, completeness, and compliance of physical therapy documentation entered in Axxess by field clinicians.

This role supports regulatory compliance, payer requirements, and internal documentation standards through structured chart review, plan of care validation, and real-time monitoring of visit documentation and utilization.

This is a non-bedside, quality assurance role focused on documentation governance, functional outcome tracking, and risk mitigation.

Key Responsibilities

• Review PT clinical narratives and documentation for completeness, accuracy, and compliance with internal standards and payer requirements interventions performed (therapeutic exercise, gait training, balance, modalities) home exercise program and patient education
• Review and validate OASIS-E1 Discharge documentation where PT services are involved
• Review PT discipline discharge summaries for completion, outcomes, and goal resolution
• Review PT reassessment and re-evaluation documentation for continued medical necessity and plan of care adjustments
• Evaluate patient progression and ensure documentation reflects appropriate clinical improvement, maintenance, or decline
• Identify documentation gaps and return charts for correction with clear QA feedback

Scope of Review

Included:

PT Plan of Care documentation

PT Treatment Visit Notes

PT Reassessment/Re-evaluation

OASIS-E1 Discharge (PT)

PT Discipline Discharge

Excluded:

Non-PT disciplines (OT, ST, Nursing)

Non-skilled wellness visits

Volume and Turnaround Expectations

QA reviews are based on all active PT patients documented in Axxess and are not assigned by individual patient panels

Workload is dependent on visit frequency, authorization utilization, and active patient census

• QA review must be completed within the applicable 30-day and 60-day billing cycle of the patient's care period
• QA review must account for early discharge scenarios including hospitalization, patient-requested discharge, or change in care status

Documentation must be reviewed and corrected prior to billing submission whenever applicable

Review Workflow Model

PT QA follows a real-time monitoring model

All active PT patient documentation must be reviewed continuously as visits are completed and entered in Axxess

Review Priority Flow

RN Start of Care is completed first

PT evaluation follows RN SOC when PT is ordered

PT QA review begins after RN SOC documentation and PT evaluation are available in Axxess

If PT is identified within RN SOC documentation, PT QA review proceeds after RN

SOC review

If MD orders include both RN and PT services, RN SOC is completed first and PT

evaluation and PT QA review follow

PT QA must ensure alignment with RN SOC findings, physician orders, and authorized visit frequency

Required Qualifications

Education and Licensure

Licensed Physical Therapist (local Philippines license)

Clinical Experience

Minimum of 8 months to 1 year of clinical physical therapy experience

QA / Documentation Experience

Minimum of 1 year experience in PT QA, documentation review, audit, or related QA function

Core Skills

Strong clinical documentation review skills

Understanding of plan of care structure and functional goal setting

Familiarity with therapy documentation standards and skilled therapy justification EHR proficiency (Axxess preferred)

Ability to provide structured, standards-based QA feedback

Preferred Qualifications

• Licensed Physical Therapist (active and unrestricted local license)
• Experience in home health or post-acute rehabilitation setting
• Familiarity with Medicare documentation and therapy coverage standards
• Experience in utilization review, audit, or therapy QA functions

Scope Limitations

No direct patient care responsibilities

Role is strictly focused on documentation QA, feedback, and escalation per protocol