ICD-Coding Specialist; Home Health & Hospice
Listed on 2026-10-09
-
Healthcare
Medical Records, Healthcare Compliance, Medical Billing and Coding, Healthcare Administration
Job Category
:
Clinical
Requisition Number
: ICD
- Full-Time
- Remote
Showing 1 location
United States
United States
Location: Can be worked remotely from anywhere within the United States
Reports to:Health Information Manager
Job Type: 1099 Contractor-- responsible for securing & maintaining own equipment, secure internet access and relevant certifications
Schedule:No set hours; must meet established due dates on review assignments
About UsFounded in 1982, Westminster-Canterbury on Chesapeake Bay is a not-for-profit, faith-based Life Plan Community. Located along the southern shore of Chesapeake Bay, our scenic, resort-style campus is home to a vibrant community of residents and staff who share a passion for service, joy, and well-being.
Our mission? Enriching lives through the power of purpose, belonging, and wellness.
We live our values every day:
Respect for every person
Passion for what we do
Professionalism in all we do
Senior Options is a wholly owned subsidiary of Westminster Canterbury on Chesapeake Bay, dedicated to supporting the continuum of care for older adults across the country. Senior Options partners with Leading Age member organizations to strengthen and expand their home-based care services, providing expert guidance and operational support to existing home health, hospice, and home care programs. In addition, Senior Options works closely with Leading Age members looking to launch new home health, hospice, and home care agencies — offering hands‑on assistance through every stage of startup and ongoing operations.
Through this specialized focus, Senior Options helps mission‑driven organizations deliver high‑quality, community‑based care to the seniors they serve. To learn more:
The Home Health and Hospice Coding Specialist is responsible for reviewing clinical documentation and assigning accurate ICD-10‑CM diagnosis codes for home health and hospice patients. This contractor supports coding accuracy, regulatory compliance, reimbursement integrity, and quality outcomes by ensuring documentation supports the patient’s diagnoses, plan of care, level of service, and Medicare requirements. This role requires strong knowledge of home health and hospice coding guidelines, Medicare Conditions of Participation, LCD/NCD guidance, PDGM requirements, hospice eligibility documentation, and appropriate sequencing of diagnoses.
WhatYou’ll Do In This Role
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.
Maintain an advanced, current knowledge base of CMS guidance, Medicare regulations, LCDs, and payer‑specific updates.
Ensure absolute data privacy and HIPAA compliance when handling all Protected Health Information (PHI).
- Generate and maintain tracking logs, status updates, and coding reports for management as required.
Professional Communication: Exceptional verbal and written…
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