Medical Agency jobs in Pune, Maharashtra

Employment Type: Full-Time
Experience: 1–4 Years

Position Overview:

AutomationEdge is seeking a detail-oriented and experienced Home Health Medical Coder with strong knowledge of U.S. Home Health processes, ICD-10 coding, and Revenue Cycle Management (RCM). The ideal candidate should have hands-on experience reviewing clinical documentation, assigning accurate diagnosis codes, and ensuring compliance with CMS and Home Health coding guidelines.

Key Responsibilities

• Review and accurately classify Home Health clinical documentation, including:
  • Face-to-Face (F2F) encounters, Plans of Care (POC), Visit Notes, Face Sheets, Discharge Summaries, Physician Orders, OASIS Assessments
• Assign and sequence ICD-10-CM diagnosis codes in accordance with Home Health coding guidelines and CMS regulations.
• Validate documentation completeness, coding accuracy, and compliance requirements before submission.
• Review clinical records to ensure coding readiness and support accurate reimbursement.
• Demonstrate a strong understanding of Home Health documentation standards, coding regulations, and quality requirements.
• Collaborate effectively with clinical, operations, and billing teams to resolve coding and documentation-related queries.
• Maintain established productivity, quality, and accuracy benchmarks.
• Stay updated with changes in Home Health coding guidelines, CMS regulations, and industry best practices.

Required Skills & Qualifications

• Must-Have Skills
  • Minimum 1 year of hands-on experience in Home Health Coding.
  • Strong knowledge of ICD-10-CM coding for Home Health services.
  • Experience working with Plans of Care (POC) and Home Health clinical documentation.
  • Good understanding of the U.S. Revenue Cycle Management (RCM) process.
  • Working knowledge of OASIS assessments and Home Health documentation requirements.
  • Experience reviewing physician orders, visit notes, F2F documentation, and discharge summaries.
  • Familiarity with CMS Home Health regulations and compliance standards.
  • Experience working with multiple EMR/EHR systems in a Home Health environment.
• Soft Skills
  • Strong attention to detail and analytical abilities.
  • Excellent communication and interpersonal skills.
  • Effective problem-solving and decision-making capabilities.
  • Ability to work independently and manage deadlines efficiently.
  • Strong collaboration skills while working with cross-functional teams.
• Preferred Qualifications
  • Certification in Medical Coding (CPC, CCS, HCS-D, COS-C, or equivalent) will be an added advantage.
  • Prior experience supporting U.S. Home Health agencies.
  • Exposure to quality audits and coding compliance reviews.

Contact Person : Nidhi Saraiya

Email:nidhi.saraiya@automationedge.com