Home Health Medical Coding Specialist

2 days ago


Quezon City, National Capital Region, Philippines beBeeMedicalCoder Full time ₱45,000 - ₱60,000

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.

  • Accurate coding
  • Clean claims submission
  • AR follow-ups
  • 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


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