Remote ICD-10 Coding Specialist — Home Health & Hospice

Westminster-Canterbury-On-Chesapeake-Bay; United States; Remote; USD 54,000 - 70,000; Full time

Job summary

Westminster-Canterbury on Chesapeake Bay seeks an ICD-10 Coding Specialist (Home Health & Hospice) for contract work. This remote role supports coding accuracy, regulatory compliance, and revenue integrity by ensuring documentation aligns with diagnoses, plan of care, and Medicare requirements.

You will review clinical documentation, sequence diagnoses per ICD-10-CM guidelines, auditor charts, collaborate with QA and compliance teams, and maintain up-to-date CMS guidance while protecting PHI

Qualifications

• 2+ years in Home Health, ICD-10 coding, and OASIS review.
• Active HCS-D and HCS-O certifications.
• Strong knowledge of PDGM, Medicare CoPs, HHVBP, Star Ratings, and ICD-10 Official Coding Guidelines.

Responsibilities

• Review home health and hospice clinical documentation across all time points (SOC, ROC, Recertification, Transfer, Discharge, Admission) to assign accurate ICD-10-CM diagnosis codes.
• Sequence diagnoses in strict compliance with ICD-10-CM guidelines, CMS requirements, PDGM payment methodologies, and hospice coding expectations.
• Audit clinical charts to identify documentation gaps or inconsistencies, and collaborate with clinical leadership or compliance teams to resolve query needs.
• Support revenue cycle efficiency by meeting established productivity and turnaround time goals to prevent delays in billing and claim submissions.
• Assist with internal quality assurance and external medical reviews, including TPE, ADRs, and compliance audits.
• Collaborate cross-functionally with clinical, QA, compliance, and revenue cycle teams to drive documentation integrity and regulatory readiness.
• Maintain an advanced, current knowledge base of CMS guidance, Medicare regulations, LCDs, and payer‑specific updates.
• Ensure absolute data privacy and HIPAA compliance when handling all Protected Health Information (PHI).
• Generate and maintain tracking logs, status updates, and coding reports for management as required.

Skills

ICD-10 coding

OASIS review

Job description

Westminster-Canterbury on Chesapeake Bay seeks an ICD-10 Coding Specialist (Home Health & Hospice) for contract work. This remote role supports coding accuracy, regulatory compliance, and revenue integrity by ensuring documentation aligns with diagnoses, plan of care, and Medicare requirements.

You will review clinical documentation, sequence diagnoses per ICD-10-CM guidelines, auditor charts, collaborate with QA and compliance teams, and maintain up-to-date CMS guidance while protecting PHI