Home Health Medical Coding Specialist

Pointwest is looking for experienced Home Health Medical Coders to support our US-based clients. The ideal candidate has at least 2 years of experience in Home Health coding and billing, is familiar with OASIS documentation, PDGM, and CMS guidelines, and has hands-on experience using EMR systems such as HCHB, Kinnser, Axxess, DeVero, or AlayaCare.

You will be responsible for accurate coding, clean claims submission, AR follow-ups, and coordination with client-side QA and compliance teams. This role plays a critical part in client satisfaction and overall service delivery.

We value Leadership, Excellence, and Innovation, and cultivate a culture of Agility, Accountability, Innovation, Collaboration, and Customer Centricity.

Key Responsibilities

• Assign accurate ICD-10-CM codes based on OASIS and clinical documentation
• Ensure compliance with CMS, HIPAA, PDGM, and PPS guidelines
• Submit clean claims and manage AR using EMR systems (e.g., HCHB, Kinnser, Axxess)
• Handle claim denials, resubmissions, and AR follow-ups
• Collaborate with QA and compliance teams of US-based clients
• Recommend improvements to documentation or billing workflows
• Participate in trainings and help upskill the team

Performance Metrics

• 95%+ coding accuracy rate
• Timely and clean claim submission
• Denial resolution turnaround time
• Client satisfaction and retention
• Adoption of process improvements
• Training and knowledge-sharing contributions

Qualifications

• Minimum 2 years of Home Health coding experience (required)
• CPC or HCS-D certification (preferred)
• Proficiency in ICD-10-CM, OASIS-D, PDGM, LUPA, and HCPCS
• Familiarity with EMR systems like HCHB, Kinnser, Axxess, DeVero, or AlayaCare
• Knowledge of CMS guidelines and Home Health PPS
• Strong written and verbal English communication skills