ICD-10 Coding Specialist – Home Health, Hospice

This is a fully remote position, open to applicants in United States.

📋 Description

• Evaluate clinical documentation for home health and hospice across all time points (SOC, ROC, Recertification, Transfer, Discharge, Admission) to accurately assign ICD-10-CM diagnosis codes.

• Organize diagnoses in strict adherence to ICD-10-CM guidelines, CMS requirements, PDGM payment methodologies, and hospice coding standards.

• Review clinical charts to pinpoint documentation gaps or inconsistencies, collaborating with clinical leadership or compliance teams to address query needs.

• Enhance revenue cycle efficiency by achieving established productivity and turnaround time benchmarks to avoid delays in billing and claim submissions.

• Contribute to internal quality assurance and external medical reviews, including TPE, ADRs, and compliance audits.

• Work collaboratively across clinical, QA, compliance, and revenue cycle teams to promote documentation integrity and regulatory readiness.

• Maintain a thorough and up-to-date knowledge of CMS guidance, Medicare regulations, LCDs, and payer-specific updates.

• Ensure complete data privacy and adherence to HIPAA regulations when managing all Protected Health Information (PHI).

⛳️ Requirements

• Over 2 years of experience in Home Health, ICD-10 coding, and OASIS review.

• Valid HCS-D and HCS-O certifications.

• Extensive experience in reviewing Plan of Care (POC) and HOPE documentation.

• In-depth knowledge of PDGM, Medicare CoPs, HHVBP, Star Ratings, and ICD-10 Official Coding Guidelines.

• Preferred certification in CHS-C with dual-specialty coding experience in both Home Health and Hospice care environments.

• Direct experience with TPE, ADR, medical reviews, and internal/external compliance audits.

• Proficiency in industry-standard EMRs (e.g., Homecare Homebase, WellSky, MatrixCare, Careficient, Netsmart).

• Strong understanding of OASIS accuracy, clinical quality measures, hospice documentation integrity, and billing-related coding guidelines.

🏝️ Benefits

• Competitive compensation and comprehensive benefits package.

• Opportunities for professional development and continuing education.

• Flexible work arrangements to support work-life balance.