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