Pointwest is looking for experienced Home Health Medical Coders & Billers to support our US-based clients. The ideal candidate has at least 2 years of experience in Home Health coding and billing, is familiar with OASIS documentation, PDGM, and CMS guidelines, and has hands-on experience using EMR systems such as HCHB, Kinnser, Axxess, DeVero, or AlayaCare.
You will be responsible for accurate coding, clean claims submission, AR follow-ups, and coordination with client-side QA and compliance teams. This role plays a critical part in client satisfaction and overall service delivery.
We value Leadership, Excellence, and Innovation, and cultivate a culture of Agility, Accountability, Innovation, Collaboration, and Customer Centricity.
Key Responsibilities
Assign accurate ICD-10-CM codes based on OASIS and clinical documentation
Ensure compliance with CMS, HIPAA, PDGM, and PPS guidelines
Submit clean claims and manage AR using EMR systems (e.g., HCHB, Kinnser, Axxess)
Handle claim denials, resubmissions, and AR follow-ups
Collaborate with QA and compliance teams of US-based clients
Recommend improvements to documentation or billing workflows
Participate in trainings and help upskill the team
Performance Metrics
95%+ coding accuracy rate
Timely and clean claim submission
Denial resolution turnaround time
Client satisfaction and retention
Adoption of process improvements
Training and knowledge-sharing contributions
Qualifications
Minimum 2 years of Home Health coding experience (required)
CPC or HCS-D certification (preferred)
Proficiency in ICD-10-CM, OASIS-D, PDGM, LUPA, and HCPCS
Familiarity with EMR systems like HCHB, Kinnser, Axxess, DeVero, or AlayaCare
Knowledge of CMS guidelines and Home Health PPS
Strong written and verbal English communication skills
Work Setup
Location: PH-based, with 3 months onsite (Work-in-Office)
Schedule: US business hours / Graveyard shift
Tools Provided: EMR access, communication tools (Zoom, Slack), etc.
