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Affinity Home Healthcare

Home Health QA/coder

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What they do

A Medical Coder organizes and reviews patient medical records and assigns codes for each diagnosis and treatment. Prepares coded information for use by health care insurers or for research. May retrieve information for clinicians and billing offices. Works in healthcare facilities.

$74,149 / year median in Nevada

-7% projected decline

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Job Description

Job Overview Join our dynamic healthcare team as a Home Health QA/Coder, where your expertise in medical coding and quality assurance will ensure the accuracy and compliance of home health documentation and billing processes. In this vital role, you will review medical records, assign appropriate codes, and verify that all documentation aligns with industry standards and regulatory requirements. Your keen eye for detail and thorough understanding of coding guidelines will directly contribute to the integrity of our revenue cycle management and compliance efforts. This position offers an exciting opportunity to make a meaningful impact on patient care documentation while working within a collaborative, fast-paced environment. Responsibilities Review and analyze home health medical records to ensure completeness, accuracy, and compliance with coding standards. Assign appropriate
ICD-9, ICD-10
diagnosis codes, CPT procedure codes, HCPCS codes, and DRG classifications based on documented clinical information. Ensure coding aligns with Medical Coding Guidelines, CMS regulations, and payer-specific requirements for billing and reimbursement. Conduct quality audits of coded records to identify discrepancies or errors and implement corrective actions. Collaborate with clinicians and billing teams to clarify documentation issues and improve record accuracy. Maintain up-to-date knowledge of changes in medical terminology, anatomy, physiology, and coding regulations affecting home health services. Utilize electronic health record (EHR) systems and medical coding software to abstract data, manage records efficiently, and support revenue cycle processes. Qualifications Proven experience in medical coding within a home health or outpatient setting, with familiarity in inpatient coding preferred. Strong knowledge of
ICD-9, ICD-10, CPT
coding systems, HCPCS codes, and DRG classifications. Demonstrated understanding of Medical Billing, Medical Records management, Medical Terminology, and EHR systems. Familiarity with CMS guidelines for home health services and regulations governing Medicare/Medicaid billing. Ability to interpret medical records accurately using Anatomy Knowledge and Physiology fundamentals. Experience with Medical Coding Software tools for record abstraction and billing support. Excellent attention to detail combined with strong analytical skills to ensure compliance and optimize revenue cycle management. Join us in delivering precise healthcare documentation that supports quality patient care while ensuring regulatory compliance!
Pay:
$1,000.00 per month
Benefits:
Flexible schedule
Work Location:
In person