ICD-10 Coding Specialist, Home Health & Hospice

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Westminster-Canterbury on Chesapeake Bay & Senior Options, LLC

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1982

🤝 Non-profit

🧘 Wellness

👥 B2C

Non-profit • Wellness • B2C

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 all time points (SOC, ROC, Recertification, Transfer, Discharge, Admission) to assign accurate ICD-10-CM diagnosis codes. • Sequence diagnoses in strict compliance with ICD-10-CM guidelines, CMS requirements, PDGM payment methodologies, and hospice coding expectations. • Audit clinical charts to identify documentation gaps or inconsistencies, and collaborate with clinical leadership or compliance teams to resolve query needs. • Support revenue cycle efficiency by meeting established productivity and turnaround time goals to prevent delays in billing and claim submissions. • Assist with internal quality assurance and external medical reviews, including TPE, ADRs, and compliance audits. • Collaborate cross-functionally with clinical, QA, compliance, and revenue cycle teams to drive documentation integrity and regulatory readiness.

🎯 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. • Preferred CHS-C certified. • Dual-specialty coding experience across both Home Health and Hospice care settings. • Direct experience supporting TPE, ADR, medical reviews, and internal/external compliance audits. • Proficiency in industry-standard EMRs (e.g., Homecare Homebase, WellSky, MatrixCare, Careficient, Netsmart). • Solid understanding of OASIS accuracy, clinical quality measures, hospice documentation integrity, and billing-related coding guidelines.