About AJ Residence
AJ Residence is a DBHDS-licensed provider of residential group home and day support services for adults and children with developmental disabilities in Virginia. Our services are funded through Virginia Medicaid waivers, which means the quality and completeness of our daily documentation directly determines both regulatory compliance and reimbursement. We are hiring a Medicaid Documentation QA Specialist to handle this function for our Northern Virginia residential program.
The Role
This is a focused, detail-driven remote position for someone who genuinely enjoys careful review work. Every day, direct support staff document the care they provide in our electronic health record. Your job is to make sure that documentation is complete, accurate, timely, and audit-ready for every individual on your caseload, every shift, every day. You will be the person who catches what is missing, coaches the staff member who missed it, and confirms the correction is made properly.
A typical day looks like this: log into the EHR each morning, run the shift documentation report, identify any missing or incomplete entries from the prior 24 hours, contact the responsible staff to complete late entries in accordance with our documentation procedures, then open and read each completed note to verify it meets our quality standards before marking it reviewed.
Key Responsibilities
- Review daily shift documentation for residential individuals
- Identify missing, late, incomplete, or copy-pasted entries and track each one to resolution
- Coach and retrain staff one-on-one on proper documentation, including how to document unusual situations correctly
- Coordinate corrections with the staff member who provided the service, ensuring late entries and addenda are completed by the original author and properly dated
- Verify documentation aligns with everyone’s Individual Support Plan (ISP)
- Maintain a daily completion log and report weekly trends to leadership, including repeat gaps and common errors
- Use reporting and AI-assisted tools to pull, format, and summarize documentation data
- Support audit and licensing inspection preparation by keeping records continuously inspection-ready
Who Thrives in This Role
This is quiet, repetitive, screen-based work. The right person finds satisfaction in completeness: a day where every note is accounted for is a good day. You are self-directed, hard to distract, comfortable working independently, and confident enough to follow up with staff persistently but respectfully until every item is closed.
Required Qualifications
- Associate degree or higher (health information, human services, healthcare administration, or related field preferred)
- Experience with an electronic health record or documentation platform; experience with Practical Health Solutions, Therap, or a comparable ID/DD system strongly preferred
- Strong written communication and the judgment to evaluate whether a note accurately describes a situation
- Reliable home internet and a quiet workspace; availability during Eastern Time business hours
Preferred Backgrounds
We welcome candidates from health information management (RHIT or related coursework), medical records or billing, Medicaid waiver services (DSP, QIDP, program management, support coordination), clinical documentation review, or quality assurance roles. Former direct care professionals who want remote, detail-focused work are especially encouraged to apply.
Schedule and Compensation
Starting at 30 hours per week with the expectation of growth to full-time as responsibilities expand into training development and audit support. Pay range: $23 to $28 per hour depending on experience and EHR familiarity. Fully remote with regular virtual meetings with program leadership.
To Apply
Submit a resume and a short note describing your experience reviewing or producing service documentation. Applications without the note will not be considered.