Westminster-Canterbury on Chesapeake Bay & Senior Options, LLC

Medical Billing and Coding

• 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

ICD-10 Coding Specialist, Home Health & Hospice