Home Health & Hospice Coder & Biller

United Heritage Group; United States; Remote; USD 55,000 - 65,000; Full time

Job summary

A leading company in Home Health Care Services is seeking a Home Health & Hospice Coder & Biller. This full-time remote position involves coding, billing, and ensuring compliance with Medicare regulations. The ideal candidate will have a strong background in home health coding, excellent attention to detail, and effective communication skills.

Qualifications

• 2+ years of home health coding and billing experience (Medicare required).
• Familiarity with PDGM, LUPA thresholds, NOA/RAP rules, and hospice billing cycles.

Responsibilities

• Accurately assign ICD-10 codes for all OASIS based on documentation.
• Submit RAPs, NOAs, Final Claims, and Monthly Hospice Billing using Axxess.

Skills

Attention to detail

Communication

Education

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

Tools

Axxess EMR

Job description

Reports To: Finance Manager

Location: Remote

Status: Full-Time (40 hours/week)

Position Summary

The Home Health & Hospice Coder & Biller is responsible for ensuring accurate coding, documentation integrity, and timely billing 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.

Billing (Medicare & Private Insurance)

● Submit RAPs, NOAs, Final Claims, and Monthly Hospice Billing using Axxess and relevant payer portals.

● Verify patient eligibility and insurance benefits prior to claim submission.

● Monitor aging A/R and follow up on denials, underpayments, or unpaid claims.

● Ensure compliance with Medicare timelines (5-day NOA, 30-day Final Claims).

● Track and resolve billing-related issues with clinicians and intake as needed.

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 and billing experience (Medicare required)

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

● Experience with Axxess EMR strongly preferred

● Excellent communication and attention to detail

● HIPAA-compliant home office setup

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

• Industries

  Home Health Care Services

Referrals increase your chances of interviewing at United Heritage Group by 2x

Get notified about new Medical Coder jobs in United States.

AR Specialist Profee Follow Up Biller - REMOTE WORK

Associate Accounts Receivable Representative

United States $55,000.00-$65,000.00 1 day ago

Billing & Collections Specialist Tier III

South Carolina, United States 1 month ago

Healthcare Biller – Facility Support (Remote)

Medical Biller (DME) - Contract / Consultant

United States $55,000.00-$63,000.00 1 day ago

Hospital AR Billing-Follow Up Specialist - REMOTE

AR Specialist Profee Follow Up Biller - REMOTE WORK

New York, United States $70,000.00-$90,000.00 2 days ago

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.