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 Us
Founded 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
Apply today and help us bring wellness, joy, and energy to the heart of our
community!
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 LeadingAge 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 LeadingAge 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: https://senioroptions.net/ [https://senioroptions.net/]
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.
WHAT YOU’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.
CORE COMPETENCIES
Professional Communication: Exceptional verbal and written communication
skills tailored for cross-functional collaboration with clinical, quality,
compliance, and billing teams.
Independent Execution: Highly autonomous self-starter capable of managing
priorities, meeting tight turnaround times, and executing responsibilities
with minimal supervision.
Clinical Accuracy: Strong clinical judgment paired with meticulous attention
to detail.
Risk Management: Proficient in proactive problem identification, timely
escalation, and maintaining absolute confidentiality and HIPAA compliance.
THE EXPERIENCE YOU’LL BRING
REQUIRED
Experience: 2+ years in Home Health, ICD-10 coding, and OASIS review.
Certification: Active HCS-D and HCS-O certifications.
Skills: Extensive background in Plan of Care (POC) and HOPE documentation
review.
Knowledge Base: Comprehensive mastery of PDGM, Medicare CoPs, HHVBP, Star
Ratings, and ICD-10 Official Coding Guidelines.
Preferred
CHS-C certified
Dual-specialty coding experience across both Home Health and Hospice care
settings.
Direct experience supporting TPE, ADR, medical reviews, and internal/external
compliance audits.
Proficiency in industry-standard EMRs (e.g., Homecare Homebase, WellSky,
MatrixCare, Careficient, Netsmart).
Solid understanding of OASIS accuracy, clinical quality measures, hospice
documentation integrity, and billing-related coding guidelines.
COMPENSATION
Pay per chart : Minimum of six charts per day
Coding only: $15 per chart
Coding and OASIS/HOPE: $35 - $38 per chart (based on relevant experience)
Coding/OASIS/HOPE/POC: $35 - $40 per chart (based on relevant experience)
AT-WILL EMPLOYMENT STATEMENT
EMPLOYMENT WITH OUR ORGANIZATION IS “AT-WILL,” MEANING THAT EITHER THE EMPLOYEE
OR THE EMPLOYER MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, WITH OR
WITHOUT NOTICE, AND FOR ANY REASON NOT PROHIBITED BY LAW.
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT
WE ARE AN EQUAL OPPORTUNITY EMPLOYER AND ARE COMMITTED TO CREATING AN INCLUSIVE
AND DIVERSE WORKPLACE. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR
EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER, SEXUAL ORIENTATION,
GENDER IDENTITY, NATIONAL ORIGIN, DISABILITY, VETERAN STATUS, OR ANY OTHER
PROTECTED CHARACTERISTIC AS OUTLINED BY APPLICABLE LAWS.