
100 WFH Home Health Medical Coder
1 day ago
Pointwest is looking for experienced Home Health Medical Coders 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
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