Home Health & Hospice - Medical Coder

BCHH

Job Overview:

We are seeking a skilled and dedicated Home Health Coder to join our team and ensure accurate and compliant coding for home health services. The ideal candidate will possess 4 to 6 years of hands-on coding experience in the home health industry, with a solid grasp of ICD-10, CPT, and HCPCS coding systems. This role is pivotal in driving accurate billing and maximizing reimbursement for home health services, ensuring adherence to regulatory standards.

Key Responsibilities:

• Accurate Coding: Review patient charts and clinical documentation to accurately assign ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and home health visits.
• Regulatory Compliance: Ensure compliance with all relevant industry standards, including CMS guidelines, HIPAA regulations, and payer-specific policies, while maintaining strict accuracy in coding.
• Documentation Review: Collaborate with clinicians and healthcare providers to ensure complete and accurate documentation for proper coding. Resolve any discrepancies or missing information promptly.
• Claims Submission: Code and prepare claims for submission to insurance providers (Medicare, Medicaid, and private insurance), ensuring timely and accurate reimbursement.
• Audit Support & Reporting: Assist with internal coding audits and provide support for external audits, ensuring compliance and resolving any audit findings related to coding.
• Continuous Learning: Stay current on coding updates, regulatory changes, and healthcare trends. Participate in ongoing training and professional development to refine coding skills.
• Collaboration with Billing and Clinical Teams: Work closely with billing departments to ensure correct reimbursement, and assist clinicians and care teams with proper documentation and coding practices.
• Productivity & Accuracy Tracking: Maintain productivity targets and ensure a high level of accuracy in coding processes. Resolve coding discrepancies quickly to avoid delays in claim submissions.
  

Qualifications:

• Experience: Minimum of 4-6 years of experience in home health coding with expertise in ICD-10, CPT, and HCPCS coding systems. Previous experience with home health billing and claims processing is highly preferred.
• Certification: Certified Professional Coder (CPC), Certified Home Health Coder (CHHC), Certified Coding Specialist (CCS), or similar relevant certifications are required.
• Education: Associate's degree in health information management, Medical Coding, or a related field is preferred.
• Technical Skills: Proficiency with Electronic Health Records (EHR) systems, coding software, and home health-specific coding platforms (e.g., 3M, Cerner). Strong familiarity with coding tools and software.
• Knowledge of Regulations: Deep understanding of CMS guidelines, HIPAA standards, and specific payer requirements for home health coding and billing.
• Attention to Detail: Exceptional attention to detail with the ability to catch inconsistencies and errors in documentation or coding.
• Communication Skills: Excellent verbal and written communication skills to effectively interact with clinicians, care teams, and billing departments.
• Problem-Solving Abilities: Ability to identify issues, research discrepancies, and find solutions to complex coding challenges.

Preferred Skills:

• Experience in auditing home health coding and claims data.
• Familiarity with coding changes and updates in the home health space (e.g., OASIS, HHRG).
• Strong analytical skills and the ability to think critically under pressure.

NOTE-

Immediate joiners Preferred.

Work from Office, Location - JP Nagar 2nd Phase, Bangalore

Work timings - 11am to 8Pm

Contact

Email : Careers@prodatit.com

Mobile : 9606018324