What are the responsibilities and job description for the Coding Specialist position at Heritage Home Health and Hospice?
Are you looking for a flexible, remote career where your expertise directly impacts patient care, compliance, and reimbursement accuracy? If so, come work with us at Health Care Answers.
Health Care Answers partners with healthcare organizations to deliver accurate coding, strong compliance, and optimized revenue cycle performance in home health and hospice. We are a team of professionals who value precision, accountability, and collaborationwhile offering the flexibility to work remotely and manage your schedule effectively.
Why Join Health Care Answers?
- 100% Remote Position Work from home with a flexible schedule
- Flexible Work Environment Focus on outcomes, not micromanagement
- Impact-Driven Work Directly influence reimbursement accuracy and compliance
- Collaborative Culture Work alongside experienced clinical and revenue cycle professionals
- Stability & Growth Be part of a growing organization supporting essential healthcare services
Position Summary
The Coding Specialist is responsible for accurately translating clinical documentation into ICD-10-CM, CPT, and HCPCS codes for home health and hospice services. This role ensures compliance with federal, state, and payer-specific requirements while supporting accurate and timely reimbursement.
This position plays a key role in reducing denials, improving coding accuracy, and supporting operational efficiency. Success in this role requires strong attention to detail, deep coding knowledge, and the ability to work independently in a remote environment.
Responsibilities
Accurate Coding & Documentation
- Review clinical documentation and assign appropriate ICD-10, CPT, and HCPCS codes
- Ensure compliance with Medicare, Medicaid, and payer-specific regulations
- Identify and resolve documentation gaps impacting coding accuracy
Revenue Cycle & Denials Support
- Collaborate with billing teams to ensure accurate and timely claim submission
- Investigate and resolve coding-related denials
- Monitor for trends in undercoding, overcoding, and compliance risks
Compliance & Audits
- Maintain current knowledge of coding updates and regulatory changes
- Participate in internal and external audits
- Implement corrective actions based on audit findings
Clinical Collaboration & Education
- Partner with clinicians to improve documentation quality
- Provide guidance on coding best practices and regulatory changes
- Ensure alignment between clinical documentation and coding
Data & Performance Tracking
- Analyze coding performance and identify improvement opportunities
- Generate reports related to accuracy, productivity, and compliance
- Maintain internal coding resources and references
Qualifications
Required:
- Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or HCS-D certification
- Strong knowledge of ICD-10-CM, CPT, and HCPCS
- Ability to work independently in a fully remote environment
Preferred:
- Home Health and/or Hospice coding experience
- Experience with Medicare and Medicaid billing requirements
- Familiarity with OASIS documentation
- Experience working with multiple payers and complex cases
- Minimum of 2 years of medical coding experience
Skills & Competencies
- High attention to detail and accuracy
- Strong analytical and problem-solving skills
- Effective communication in a remote team environment
- Proficiency in EHR systems and coding platforms
- Ability to manage workload, deadlines, and priorities independently
Remote Work Expectations
- Reliable high-speed internet and secure workspace required
- Ability to maintain productivity and communication in a remote setting
- Availability during agreed-upon working hours (flexible scheduling supported)
- Adherence to HIPAA and data security standards in a remote environment
Additional Information
Health Care Answers is an equal opportunity employer. We are committed to fostering a respectful and inclusive work environment and do not discriminate based on race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or any other protected characteristic.