ICD-10 Coding Specialist, Home Health & Hospice
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Home Health and Hospice Coding Specialist reviewing clinical documentation and assigning ICD-10-CM codes for Senior Options. Supporting Medicare compliance, reimbursement integrity, and coding quality remotely across the United States.
Responsibilities:
- Review home health and hospice clinical documentation across SOC, ROC, Recertification, Transfer, Discharge, and Admission time points
- Assign accurate ICD-10-CM diagnosis codes
- Sequence diagnoses according to ICD-10-CM guidelines, CMS requirements, PDGM payment methodologies, and hospice coding expectations
- Audit clinical charts for documentation gaps or inconsistencies
- Collaborate with clinical leadership and compliance teams to resolve query needs
- Meet productivity and turnaround-time goals to support billing and claim submissions
- Assist with internal quality assurance and external medical reviews, including TPE, ADRs, and compliance audits
- Collaborate with clinical, QA, compliance, and revenue cycle teams to improve documentation integrity and regulatory readiness
- Maintain current knowledge of CMS guidance, Medicare regulations, LCDs, and payer-specific updates
- Protect PHI and ensure HIPAA compliance
- Generate and maintain tracking logs, status updates, and coding reports for management
Requirements:
- 2+ years in Home Health, ICD-10 coding, and OASIS review
- Active HCS-D and HCS-O certifications
- Extensive background in Plan of Care (POC) and HOPE documentation review
- Comprehensive mastery of PDGM, Medicare CoPs, HHVBP, Star Ratings, and ICD-10 Official Coding Guidelines
- Strong knowledge of home health and hospice coding guidelines, Medicare Conditions of Participation, LCD/NCD guidance, PDGM requirements, hospice eligibility documentation, and diagnosis sequencing
- Preferred CHS-C certification
- Dual-specialty coding experience across Home Health and Hospice care settings
- Direct experience supporting TPE, ADR, medical reviews, and internal/external compliance audits
- Proficiency in industry-standard EMRs, such as Homecare Homebase, WellSky, MatrixCare, Careficient, and Netsmart
- Solid understanding of OASIS accuracy, clinical quality measures, hospice documentation integrity, and billing-related coding guidelines
- Exceptional verbal and written communication skills
- Ability to work autonomously, manage priorities, meet tight turnaround times, and work with minimal supervision
- Strong clinical judgment and meticulous attention to detail
- Proficiency in proactive problem identification, timely escalation, confidentiality, and HIPAA compliance
- Ability to secure and maintain own equipment, secure internet access, and relevant certifications
- Must be located within the United States
Benefits:
- No set hours; flexible schedule subject to established review-assignment due dates
- 1099 contractor arrangement
- Opportunity to support mission-driven home health, hospice, and home care organizations
- Compensation per chart, including higher rates for Coding and OASIS/HOPE or Coding/OASIS/HOPE/POC work
Similar Jobs
HIM Cert Coder, Interventional Radiology, CPT, ICD-10
Remote certified coder specializing in interventional radiology, CPT, and ICD-10 for Carle Health. Providing expert coding, audits, mentoring, and department leadership support.
Senior Medical Billing, RCM Specialist
Senior medical billing specialist managing U.S. healthcare claims, denials, AR, and payer follow-up. Supporting revenue cycle operations remotely for SnappyCX’s healthcare clients.
Senior Medical Billing, RCM Specialist
Senior medical billing specialist managing U.S. healthcare claims, denials, AR, and payer follow-up for SnappyCX. Fully remote role supporting healthcare practices during U.S. business hours.
Bilingual Senior Medical Billing, RCM Specialist – English, Spanish
Bilingual senior specialist managing U.S. healthcare billing, denials, AR, and payer follow-up for SnappyCX. Fully remote, serving Medicare, Medicaid, and commercial insurance workflows.
Ambulatory Coder II – Professional Billing
Ambulatory coder reviewing CPT, ICD-10, HCPCS, and modifier codes for Prisma Health’s multi-specialty healthcare practices. Resolving billing edits and supporting compliant provider coding.
Medical Records Technician Coder III
Remote Medical Records Technician Coder III supporting Indian Health Service outpatient coding. Managing encounter accuracy, backlog reduction, compliance, and RPMS/PCC documentation.
Coding Specialist II – Infectious Disease, Rheumatology & Endocrinology
Remote Savista coding specialist reviewing infectious disease, rheumatology, and endocrinology documentation. Assigning compliant ICD-10 and CPT/HCPCS codes for healthcare revenue cycle services.
Medical Coder
Medical Coder applying ICD-10, CPT, and HCPCS codes to patient records and claims. Supporting billing accuracy, audits, compliance, and biller training remotely.
Medical Billing Supervisor
Medical billing supervisor overseeing remote billing teams, Medicare Part A claims, and productivity. Managing denials and specialty-, state-, and carrier-specific billing requirements.
Master Level HIM Adj, Medical Coding
Healthcare Instructor teaching online Health Information Management and medical coding courses at Bryan University. Supporting student engagement, feedback, records, and academic progress.
ED Facility Coding Specialist
ED Facility Coding Specialist assigning CPT, HCPCS, and ICD-10-CM codes for CorroHealth’s healthcare reimbursement solutions. Working remotely to support accurate facility coding and client revenue.
Coder, Inpatient
Remote inpatient coder applying ICD-10-CM/PCS codes and resolving documentation discrepancies for Ovation Healthcare. Reviewing records across outpatient and inpatient settings.
Correspondence Representative – Medical Billing Mailing Operations
Correspondence Representative processing medical billing correspondence, returned mail, and document imaging for Trinity Health. Supporting patient revenue operations through accurate mailing, indexing, scanning, and supplies management.
Medical Billing Specialist – Full Time
Medical Billing Specialist supporting billing operations for Delfina’s pregnancy care data platform. Managing medical claims, eligibility, coding accuracy, reporting, and workflow improvement.
Billing and Follow-up Representative – Hospital Medical Billing Follow-up, Commercial Payors
Remote medical billing follow-up representative supporting Trinity Health’s hospital revenue cycle. Resolving commercial payer claims, payment delays, rejections, and billing discrepancies.
Inpatient Coding Specialist II, Relief, Non-Benefitted
Inpatient coding specialist assigning ICD-10 codes and DRGs for Stanford Health Care. Reviewing records, abstracting data, and supporting compliant hospital reimbursement.
Coding Specialist
Coding Specialist reviewing medical records and provider coding for Blue Cross NC. Reporting complex coding patterns to CMS and supporting HCC compliance.
Senior Medical Billing Specialist
Senior Medical Billing Specialist managing healthcare claims, denials, and payer resolution for global companies. Maintaining compliant RCM operations through EHR validation, clearinghouse work, and reporting.
Clinical Data Coder
Clinical Data Coder leading medical and medication coding for Indero’s global dermatology and rheumatology clinical trials. Managing coding setups, dictionaries, data reviews, and study timelines.
Senior Clinical Data Coder
Senior Clinical Data Coder leading medical and medication coding for Indero’s global dermatology and rheumatology clinical trials. Managing coding setups, conventions, priorities, and data review.