Home Health Coder

Position Title: Home Health Coder
Experience Required: Minimum 2 years
Certification: BCHHC (Basic Home Health Coding Certificate) – Mandatory
Location: (Andheri)
Department: Clinical Documentation / Revenue Cycle
Reporting To: Coding Supervisor / Clinical Documentation Manager

Position Overview

The Home Health Coder is responsible for reviewing, analyzing, and coding clinical documentation for home health services in compliance with CMS, OASIS, PDGM, and organizational guidelines. The role ensures accurate coding for optimal reimbursement, compliance, and quality reporting while supporting the clinical team with coding accuracy and timely documentation.

Key Responsibilities1. Coding & Documentation Review

• Assign accurate ICD-10 diagnosis codes for home health episodes based on clinical documentation.
• Review OASIS assessments and physician orders for consistency, completeness, and coding accuracy.
• Ensure coding compliance with CMS, PDGM, and home health regulatory requirements.
• Communicate with clinicians to clarify documentation and resolve coding queries.

2. Regulatory Compliance

• Follow all coding standards and guidelines set by CMS, NAHC, and industry best practices.
• Ensure documentation supports diagnoses assigned and meets compliance requirements.
• Maintain confidentiality and integrity of patient health information (HIPAA).

3. Quality Assurance & Audit Support

• Participate in internal audits and quality reviews to ensure high coding accuracy.
• Identify documentation gaps and provide feedback to clinical teams.
• Assist in corrective actions based on audit findings.

4. Coordination & Communication

• Collaborate with clinicians, QA specialists, and billing teams to ensure accurate episode preparation.
• Provide coding support during case conferences and interdisciplinary meetings, if required.

5. Reporting & Productivity

• Maintain productivity and accuracy benchmarks as per company policy.
• Generate required coding reports and support revenue cycle optimization.

Required Qualifications

• Minimum 2 years of experience in Home Health coding.
• BCHHC (Basic Home Health Coding Certificate) – Mandatory.
• Strong understanding of ICD-10, PDGM, and OASIS E guidelines.
• Familiarity with CMS regulations and home health documentation standards.
• Experience working with EMR/EHR systems (e.g., Homecare Homebase, WellSky, MatrixCare).

Skills & Competencies

• High attention to detail with strong analytical abilities.
• Excellent knowledge of medical terminology and home health care workflows.
• Strong communication and documentation skills.
• Ability to work independently and meet timelines.
• Strong ethical standards and respect for confidentiality.

Preferred Qualifications

• Additional coding certifications (HCS-D, COS-C, etc.) are a plus.
• Prior experience with PDGM transition and documentation improvement programs.

Job Types: Full-time, Permanent

Pay: ₹50,000.00 - ₹60,000.00 per month

Benefits:

• Health insurance
• Provident Fund

Application Question(s):

• Experience Required: Minimum 2 years

Certification: BCHHC (Basic Home Health Coding Certificate) – Mandatory

Education:

• Bachelor's (Required)

Work Location: In person