Homeoffice Home Health Coder en SR COMPANIES LLC

Description

Position Summary:

The Home Health Coder is responsible for reviewing clinical documentation and assigning accurate diagnosis codes (ICD-10-CM) for home health patients in accordance with current regulations, coding guidelines, and agency policy. The coder plays a key role in ensuring documentation supports the services billed and optimizes reimbursement while maintaining compliance with federal and state regulations.

Key Responsibilities:

• Review and analyze clinical documentation from clinicians to assign accurate and appropriate ICD-10 codes for home health episodes.
• Apply official coding guidelines, CMS regulations, OASIS data, and agency-specific protocols to ensure accurate coding and compliance.
• Ensure all assigned codes reflect the patient’s current clinical status, comorbidities, and services provided.
• Collaborate with clinicians and case managers to clarify documentation and ensure accurate representation of patient conditions.
• Monitor changes in coding regulations and guidelines and adjust coding practices accordingly.
• Assist in preparing documentation for audits, reviews, or other regulatory needs.
• Communicate any discrepancies or concerns regarding documentation to the appropriate clinical staff.
• Maintain productivity standards and coding accuracy goals as defined by agency policy.

Qualifications

Education & Licensure:

• High school diploma or equivalent required
• Certification in medical coding (e.g., CPC, CCS, or HCS-D) preferred
• LPN or RN license (optional but may be preferred depending on the agency)

Experience:

• Minimum 1–2 years of coding experience in home health or post-acute care required
• Familiarity with OASIS documentation and Medicare regulations strongly preferred

Skills & Competencies:

• Proficient in ICD-10-CM coding
• Strong attention to detail and accuracy
• Excellent communication and critical thinking skills
• Ability to work independently and meet deadlines
• Proficiency with EMR systems (e.g., Homecare Homebase, WellSky, etc.)

Working Conditions:

• This is a non-clinical position and may be performed remotely depending on agency policy.
• Must have access to a secure internet connection and HIPAA-compliant workspace if working remotely.