100 WFH Home Health Medical Coder

1 day ago

Quezon City, National Capital Region, Philippines Pointwest Innovations Corp. Full time

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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