Home Health & Hospice Certified Medical Coder

United Heritage Group; United States; Remote; USD 68,000 - 124,000; Full time

Job summary

A leading healthcare provider seeks a Home Health & Hospice Certified Medical Coder to ensure accurate coding and documentation for Medicare and private insurance claims. This remote, full-time role involves collaboration with clinical staff and adherence to coding guidelines, vital for optimizing revenue and maintaining compliance.

Qualifications

• 2+ years of home health coding experience (Medicare required).
• Familiarity with PDGM, LUPA thresholds, and hospice billing cycles.
• HIPAA-compliant home office setup.

Responsibilities

• Accurately assign ICD-10 codes for home health and hospice OASIS.
• Collaborate with clinical staff for documentation clarification.
• Generate weekly revenue cycle reports.

Skills

Attention to Detail

Excellent Communication

Education

Certified ICD-10 Coder (HCS-D, BCHH-C or equivalent)

Tools

Axxess EMR

Job description

Home Health & Hospice Certified Medical Coder

Home Health & Hospice Certified Medical Coder

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Job Description: Remote Home Health & Hospice Certified Medical Coder

Position Title: Home Health & Hospice Certified Medical Coder (Remote)

Reports To: Finance Manager

Location: Remote

Status: Full-Time (40 hours/week)

Position Summary

The Home Health & Hospice Certified Medical Coder is responsible for ensuring accurate coding, documentation integrity, and timely submission of all Medicare and private insurance claims for the home health and hospice divisions. The position plays a critical role in optimizing revenue, maintaining compliance with CMS regulations, and supporting operational cash flow.

Key Responsibilities

Coding & OASIS Review (Home Health & Hospice)

● Accurately assign ICD-10 codes for all SOC, ROC, Recert, and DC OASIS based on documentation.

● Review OASIS assessments for PGDM-acceptable primary diagnoses and appropriate comorbidity codes.

● Collaborate with clinical staff on documentation clarification requests to ensure coding accuracy.

● Utilize Axxess coding tools to validate HHRG grouping and comorbidity adjustments.

● Maintain up-to-date knowledge of PDGM guidelines, ICD-10 changes, and CMS updates.

Reporting & QA

● Generate weekly revenue cycle reports (unbilled claims, denials, LUPAs, ADRs).

● Maintain coding audit logs and track revenue impact of comorbidity adjustments.

● Participate in weekly QA meetings with leadership.

Qualifications

● Certified ICD-10 coder (HCS-D, BCHH-C, or equivalent preferred)

● 2+ years of home health coding experience (Medicare required)

● Familiarity with PDGM, LUPA thresholds, NOA/RAP rules, and hospice billing cycles

● Experience with Axxess EMR preferred

● Excellent communication and attention to detail

● HIPAA-compliant home office setup

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Home Health Care Services

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