Coding Quality Coach - Home Health

WellSky Corporation; United States; Remote; USD 60,000 - 80,000; Full time

Benefits offered by this job

Excellent medical with Rx, dental, and

Vision benefits

Mental Health support through EAP

Generous paid time off

Educational assistance

Job summary

WellSky Corporation is seeking a Coding Quality Coach to lead medical coding quality audits, guiding auditors and coders across US-based and international teams. The role emphasizes adherence to Medicare, CMS guidelines, and contractual standards while driving improvements in coding accuracy and process quality.

The position requires a Bachelor's degree or equivalent, 0-2 years of relevant experience, and certifications (HCS-D/HCS-O). Remote work is supported with flexible hours as needed.

Qualifications

• Bachelor's Degree or equivalent work experience.
• 0-2 years of relevant work experience.
• Coding Certified (HCS-D or BCHH-C).
• OASIS Certified (HCS-O).

Responsibilities

• Perform coding quality audits following coding quality policies and procedures, including Medicare, CMS or pay program guidelines, and ensure compliance with appropriate coding practices, regulatory standards, and contractual requirements.
• Complete audits as determined by quality team's daily prioritization and support improved performance of coders in all service lines.
• Analyze quality of coder reviews and provide feedback to quality management team regarding concerns.
• Collaborate with operations team to ensure awareness of coding team performance against key metrics compared to internal coding quality standards.
• Perform other job duties as assigned.

Education

Bachelor's Degree or equivalent work experience

Coding Certified (HCS-D or BCHH-C)

OASIS Certified (HCS-O)

Job description

The Coding Quality Coach is responsible for performing medical coding quality audit assignments and addressing agency-specific quality concerns. The scope of this job involves providing service to clients and the international and US-based coding and audit teams by providing appropriate feedback and guidance on audited records and agency requested revisions.

Key Responsibilities

• Perform coding quality audits following coding quality policies and procedures, including Medicare, CMS or pay program guidelines, and ensure compliance with appropriate coding practices, regulatory standards, and contractual requirements.
• Complete audits as determined by quality team's daily prioritization and support improved performance of coders in all service lines.
• Analyze quality of coder reviews and provide feedback to quality management team regarding concerns.
• Collaborate with operations team to ensure awareness of coding team performance against key metrics compared to internal coding quality standards.
• Perform other job duties as assigned.

Required qualifications

• Bachelor's Degree or equivalent work experience
• At least 0-2 years of relevant work experience
• Coding Certified (HCS-D or BCHH-C)
• OASIS Certified (HCS-O)

Job Expectations

• Willing to work additional or irregular hours as needed
• Must work in accordance with applicable security policies and procedures to safeguard company and client information
• Must be able to sit and view a computer screen for extended periods of time

#LI-CS1

#LI-Remote

WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.

Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:

• Excellent medical with Rx, dental, and vision benefits
• Mental Health support through EAP
• Generous paid time off, plus 13 paid holidays
• 100% vested 401(K) retirement plans
• Educational assistance up to $2500 per year

WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.

Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States.

Verification of employment eligibility will be required at the time of hire.

Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.

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