ICD-10 Coding Specialist, Home Health & Hospice

🔥 1 hour ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

👻 Ghost score 15%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Westminster-Canterbury on Chesapeake Bay & Senior Options, LLC

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1982

💼 Consulting

🏨 Hospitality

🍽️ Food & Beverage

Consulting • Hospitality • Food & Beverage

Westminster-Canterbury on Chesapeake Bay & Senior Options, LLC is a non-profit Life Plan/continuing care retirement community located in Virginia Beach, Virginia. The community offers resort-style beachfront senior living and a comprehensive continuum of services including independent living, assisted living, memory care, skilled nursing, rehabilitation (pre-hab and Stone Rehab), at-home care services, a campus clinic, dining and catering, lifelong learning programs, and events. It emphasizes wellness, active living, and long-term care options for older adults while operating community programs and fundraising through its foundation.

📋 Description

• Review home health and hospice clinical documentation across SOC, ROC, Recertification, Transfer, Discharge, and Admission time points • Assign accurate ICD-10-CM diagnosis codes • Sequence diagnoses according to ICD-10-CM guidelines, CMS requirements, PDGM payment methodologies, and hospice coding expectations • Audit clinical charts for documentation gaps or inconsistencies • Collaborate with clinical leadership and compliance teams to resolve query needs • Meet productivity and turnaround-time goals to support billing and claim submissions • Assist with internal quality assurance and external medical reviews, including TPE, ADRs, and compliance audits • Collaborate with clinical, QA, compliance, and revenue cycle teams to improve documentation integrity and regulatory readiness • Maintain current knowledge of CMS guidance, Medicare regulations, LCDs, and payer-specific updates • Protect PHI and ensure HIPAA compliance • Generate and maintain tracking logs, status updates, and coding reports for management

🎯 Requirements

• 2+ years in Home Health, ICD-10 coding, and OASIS review • Active HCS-D and HCS-O certifications • Extensive background in Plan of Care (POC) and HOPE documentation review • Comprehensive mastery of PDGM, Medicare CoPs, HHVBP, Star Ratings, and ICD-10 Official Coding Guidelines • Strong knowledge of home health and hospice coding guidelines, Medicare Conditions of Participation, LCD/NCD guidance, PDGM requirements, hospice eligibility documentation, and diagnosis sequencing • Preferred CHS-C certification • Dual-specialty coding experience across Home Health and Hospice care settings • Direct experience supporting TPE, ADR, medical reviews, and internal/external compliance audits • Proficiency in industry-standard EMRs, such as Homecare Homebase, WellSky, MatrixCare, Careficient, and Netsmart • Solid understanding of OASIS accuracy, clinical quality measures, hospice documentation integrity, and billing-related coding guidelines • Exceptional verbal and written communication skills • Ability to work autonomously, manage priorities, meet tight turnaround times, and work with minimal supervision • Strong clinical judgment and meticulous attention to detail • Proficiency in proactive problem identification, timely escalation, confidentiality, and HIPAA compliance • Ability to secure and maintain own equipment, secure internet access, and relevant certifications • Must be located within the United States

🏖️ Benefits

• No set hours; flexible schedule subject to established review-assignment due dates • 1099 contractor arrangement • Opportunity to support mission-driven home health, hospice, and home care organizations • Compensation per chart, including higher rates for Coding and OASIS/HOPE or Coding/OASIS/HOPE/POC work