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ICD-10 Coding Specialist, Home Health & Hospice
Westminster-Canterbury on Chesapeake Bay & Senior Options, LLC. Review home health and hospice clinical documentation across SOC, ROC, Recertification, Transfer, Discharge, and Admission time points .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in ICD-10 coding, home health, and hospice documentation, ensuring compliance with Medicare regulations and coding guidelines. Proficient in auditing clinical documentation and collaborating with clinical and compliance teams to enhance documentation integrity and regulatory readiness.
Highest-signal resume keywords
ICD-10 CodingHCS-D CertificationHCS-O CertificationHome Health Documentation ReviewCompliance Audits
ATS Keywords
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Hard Skills
ICD-10-CM Diagnosis CodingDiagnosis SequencingPlan of Care (POC) ReviewOASIS ReviewDocumentation AuditingRegulatory ComplianceClinical Quality MeasuresBilling-Related Coding GuidelinesProactive Problem IdentificationProductivity Goals
Soft Skills
Exceptional Verbal CommunicationExceptional Written CommunicationAttention to DetailAutonomous WorkPriority Management
Tools & Technologies
Homecare HomebaseWellSkyMatrixCareCareficientNetsmart
Certifications & Qualifications
HCS-D CertificationHCS-O CertificationCHS-C Certification
Industry Keywords
Home HealthHospice CareMedicare RegulationsCMS GuidancePDGMMedicare Conditions of ParticipationLCD/NCD GuidanceTPEADRsStar Ratings
About the role
Key responsibilities & impact- 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
What you’ll need- 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
Comp & perks- 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