Job Location: Pune
Employment Type: Full-Time
Experience: 1–4 Years
Position Overview:
AutomationEdge is seeking a detail-oriented and experienced Home Health Medical Coder with strong knowledge of U.S. Home Health processes, ICD-10 coding, and Revenue Cycle Management (RCM). The ideal candidate should have hands-on experience reviewing clinical documentation, assigning accurate diagnosis codes, and ensuring compliance with CMS and Home Health coding guidelines.
Key Responsibilities
- Review and accurately classify Home Health clinical documentation, including:
- Face-to-Face (F2F) encounters, Plans of Care (POC), Visit Notes, Face Sheets, Discharge Summaries, Physician Orders, OASIS Assessments
- Assign and sequence ICD-10-CM diagnosis codes in accordance with Home Health coding guidelines and CMS regulations.
- Validate documentation completeness, coding accuracy, and compliance requirements before submission.
- Review clinical records to ensure coding readiness and support accurate reimbursement.
- Demonstrate a strong understanding of Home Health documentation standards, coding regulations, and quality requirements.
- Collaborate effectively with clinical, operations, and billing teams to resolve coding and documentation-related queries.
- Maintain established productivity, quality, and accuracy benchmarks.
- Stay updated with changes in Home Health coding guidelines, CMS regulations, and industry best practices.
Required Skills & Qualifications
- Must-Have Skills
- Minimum 1 year of hands-on experience in Home Health Coding.
- Strong knowledge of ICD-10-CM coding for Home Health services.
- Experience working with Plans of Care (POC) and Home Health clinical documentation.
- Good understanding of the U.S. Revenue Cycle Management (RCM) process.
- Working knowledge of OASIS assessments and Home Health documentation requirements.
- Experience reviewing physician orders, visit notes, F2F documentation, and discharge summaries.
- Familiarity with CMS Home Health regulations and compliance standards.
- Experience working with multiple EMR/EHR systems in a Home Health environment.
- Soft Skills
- Strong attention to detail and analytical abilities.
- Excellent communication and interpersonal skills.
- Effective problem-solving and decision-making capabilities.
- Ability to work independently and manage deadlines efficiently.
- Strong collaboration skills while working with cross-functional teams.
- Preferred Qualifications
- Certification in Medical Coding (CPC, CCS, HCS-D, COS-C, or equivalent) will be an added advantage.
- Prior experience supporting U.S. Home Health agencies.
- Exposure to quality audits and coding compliance reviews.
Contact Person : Nidhi Saraiya
Email:[email protected]