Supervise and lead the home health coding team, including hiring, training, performance evaluation, and scheduling.
Review and audit clinical documentation and coded data to ensure accuracy, completeness, and compliance with ICD-10-CM, OASIS, and other applicable coding guidelines.
Serve as a subject matter expert on home health coding, providing guidance and education to coders and clinical staff.
Monitor and analyze coding productivity and quality metrics, implementing process improvements as needed.
Collaborate with clinical, billing, and compliance teams to resolve coding-related issues and support accurate reimbursement.
Stay current with changes in coding regulations, payer requirements, and industry best practices, and communicate updates to relevant staff.
Develop and maintain coding policies, procedures, and training materials.
Participate in internal and external audits, providing documentation and support as required.
Ensure timely and accurate submission of coded data to support billing and reporting functions.
Requirements :
Bachelors degree in health information management, Nursing, or related field preferred.
Current certification as a Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or equivalent required (BCHH-C).
Minimum 8-12 years of experience in home health coding, with at least 3 years in a supervisory or management role.
In-depth knowledge of ICD-10-CM, OASIS, and home health regulatory requirements.
Strong leadership, communication, and organizational skills.
Proficiency with electronic health records (EHR) and coding software.
Ability to analyze data, identify trends, and implement process improvements.