Home Health Care Medical Coding

1 week ago

Quezon City, Philippines Pointwest Full time

Pointwest is looking for experienced Home Health Medical Coders & Billers to support our US-based clients. The ideal candidate has at least 2 years of experience in Home Health coding and billing, is familiar with OASIS documentation, PDGM, and CMS guidelines, and has hands-on experience using EMR systems such as HCHB, Kinnser, Axxess, DeVero, or AlayaCare. You will be responsible for accurate coding, clean claims submission, AR follow-ups, and coordination with client-side QA and compliance teams. This role plays a critical part in client satisfaction and overall service delivery. We value Leadership, Excellence, and Innovation, and cultivate a culture of Agility, Accountability, Innovation, Collaboration, and Customer Centricity. Key Responsibilities Assign accurate ICD-10-CM codes based on OASIS and clinical documentation Ensure compliance with CMS, HIPAA, PDGM, and PPS guidelines Submit clean claims and manage AR using EMR systems (e.g., HCHB, Kinnser, Axxess) Handle claim denials, resubmissions, and AR follow-ups Collaborate with QA and compliance teams of US-based clients Recommend improvements to documentation or billing workflows Participate in trainings and help upskill the team Performance Metrics 95%+ coding accuracy rate Timely and clean claim submission Denial resolution turnaround time Client satisfaction and retention Adoption of process improvements Training and knowledge-sharing contributions Qualifications Minimum 2 years of Home Health coding experience (required) CPC or HCS-D certification (preferred) Proficiency in ICD-10-CM, OASIS-D, PDGM, LUPA, and HCPCS Familiarity with EMR systems like HCHB, Kinnser, Axxess, DeVero, or AlayaCare Knowledge of CMS guidelines and Home Health PPS Strong written and verbal English communication skills Work Setup Location: PH-based, with 3 months onsite (Work-in-Office) Schedule: US business hours / Graveyard shift Tools Provided: EMR access, communication tools (Zoom, Slack), etc. #J-18808-Ljbffr

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