Home Health Coding and Quality Assurance Specialist

Anuco Home Health Care LLC; Chicago (IL); Sur place; USD 85 000 - 125 000; Plein temps

Avantages offerts par ce poste

Company parties

401(k)

Competitive salary

Opportunity for advancement

Paid time off

Résumé du poste

Anuco Home Health Care LLC in Chicago, IL is seeking a detail-oriented Home Health Coding and Quality Assurance Specialist. The role focuses on accurate ICD-10-CM coding for home health records and rigorous QA of OASIS data, ensuring CMS guidelines and payer requirements are met.

Ideal candidates have 5+ years in home health coding/QA, CPC or HCS-D certification, and strong analytical skills. The position emphasizes independence, multiple priorities, and timely delivery of high-quality results.

Qualifications

• Certified professional coder certification is preferred.
• Minimum 5+ years of home health coding or quality assurance experience.
• Strong working knowledge of ICD-10-CM coding guidelines and OASIS documentation.
• Familiarity with CMS home health regulations, PPS, and PDGM reimbursement models.
• Proficiency with home health EMR/EHR software and coding tools.
• Exceptional attention to detail and strong analytical skills.
• Ability to work independently, manage multiple priorities, and meet deadlines.

Responsabilités

• Assign ICD-10-CM codes for home health records and OASIS assessments.
• Review and audit clinical documentation for coding accuracy and regulatory compliance.
• Conduct QA reviews of OASIS data submissions and clinical records.
• Identify documentation deficiencies and collaborate with clinical staff to resolve discrepancies.
• Monitor compliance with CMS home health guidelines and payer requirements.
• Generate QA reports and provide feedback to clinical teams for improvement.
• Stay current with home health coding updates and regulatory changes.

Formation

Certified Professional Coder (CPC)

HCS-D

Outils

EMR/EHR software

Description du poste

Benefits

• Company parties


• 401(k)


• Competitive salary


• Opportunity for advancement


• Paid time off

About the Role

Anuco Home Health Care LLC is looking for a detail-oriented Home Health Coding and Quality Assurance Specialist to join our growing team in Chicago, IL. This is a critical role where your expertise in medical coding and quality standards will directly impact patient care and operational excellence. If you're passionate about accuracy, compliance, and making a difference in home health services, we want to hear from you!

Responsibilities

• Assign accurate ICD-10-CM diagnosis codes for home health patient records and OASIS assessments


• Review and audit clinical documentation to ensure coding accuracy and regulatory compliance


• Conduct quality assurance reviews of OASIS data submissions and clinical records


• Identify documentation deficiencies and collaborate with clinical staff to resolve discrepancies


• Monitor and ensure compliance with CMS home health guidelines, conditions of participation, and payer requirements


• Generate QA reports and provide feedback to clinical teams to support continuous improvement


• Stay current with home health coding updates, regulatory changes, and industry best practices

Requirements

• Certified Professional Coder (CPC), HCS-D, or equivalent home health coding certification preferred


• Minimum 5+ years of experience in home health coding and/or quality assurance


• Strong working knowledge of ICD-10-CM coding guidelines and OASIS documentation


• Familiarity with CMS home health regulations, PPS, and PDGM reimbursement models


• Proficiency with home health EMR/EHR software and coding tools


• Exceptional attention to detail and strong analytical skills


• Ability to work independently, manage multiple priorities, and meet deadlines

About Us

Anuco Home Health Care LLC is a dedicated home health agency serving the Chicago, IL community with compassionate, high-quality in-home care services. Our patients trust us to deliver personalized care that supports their health, independence, and well-being in the comfort of their own homes. We pride ourselves on a supportive team culture where every employee plays a vital role in our mission to provide exceptional care.