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 at various time points, including SOC, ROC, Recertification, Transfer, Discharge, and Admission.

• Accurately assign ICD-10-CM diagnosis codes.

• Sequence diagnoses following ICD-10-CM guidelines, CMS requirements, PDGM payment methodologies, and hospice coding standards.

• Conduct audits of clinical charts to identify documentation gaps or inconsistencies.

• Work in partnership with clinical leadership and compliance teams to address query requirements.

• Achieve productivity and turnaround-time targets to facilitate billing and claims processing.

• Provide assistance with internal quality assurance and external medical reviews, including TPE, ADRs, and compliance audits.

• Collaborate with clinical, QA, compliance, and revenue cycle teams to enhance documentation integrity and regulatory preparedness.

• Stay updated on CMS guidance, Medicare regulations, LCDs, and payer-specific changes.

• Safeguard PHI and ensure adherence to HIPAA regulations.

• Create and maintain tracking logs, status updates, and coding reports for management.

⛳️ Requirements

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

• Current HCS-D and HCS-O certifications are required.

• 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.

• Strong understanding of home health and hospice coding guidelines, Medicare Conditions of Participation, LCD/NCD guidance, PDGM requirements, hospice eligibility documentation, and diagnosis sequencing.

• CHS-C certification is preferred.

• Experience in dual-specialty coding within Home Health and Hospice care environments.

• Proven experience in supporting TPE, ADR, medical reviews, and internal/external compliance audits.

• Proficiency with industry-standard EMRs, including Homecare Homebase, WellSky, MatrixCare, Careficient, and Netsmart.

• Solid grasp of OASIS accuracy, clinical quality measures, hospice documentation integrity, and billing-related coding standards.

• Excellent verbal and written communication abilities.

• Capability to work independently, prioritize tasks, meet tight deadlines, and function with minimal supervision.

• Strong clinical judgment and keen attention to detail.

• Skilled in proactive problem identification, timely escalation, confidentiality, and HIPAA compliance.

• Ability to secure and maintain personal equipment, ensure internet access, and hold relevant certifications.

• Must reside within the United States.

🏝️ Benefits

• Flexible schedule with no fixed hours, subject to established review-assignment due dates.

• 1099 contractor arrangement.

• Opportunity to contribute to mission-driven home health, hospice, and home care organizations.

• Compensation per chart, with higher rates for Coding and OASIS/HOPE or Coding/OASIS/HOPE/POC work.