Medical Coders jobs

About Us

Wheatland Health Community Care (WHCC) is a growing home health agency dedicated to providing exceptional and compassionate care to our clients in their homes. We are building a team of dedicated professionals passionate about making a difference. As we expand, we are strengthening our financial operations and seeking a meticulous, experienced Home Health Medical Biller/Coder to support the financial health of our agency.

Position Summary

The Medical Biller/Coder owns the front end of the revenue cycle at WHCC. This role is responsible for ensuring that every claim leaving the agency is accurately coded, properly validated, and submitted clean to the payer. You will work closely with our AR & Denial Specialist, bookkeeper, and clinical QA team. The ideal candidate is a detail-oriented problem-solver with hands-on experience in home health billing, PDGM-based coding, and payer-specific claim requirements.

Key Responsibilities

Claim Management

• Review and validate visit documentation for billing readiness prior to claim submission
• Assign accurate ICD-10 diagnosis codes based on OASIS documentation and physician orders
• Confirm all visits fall within the correct episode and are within authorized limits before billing
• Prepare, review, and submit accurate claims through our EMR and payer portals
• Ensure claims align with payer rules, authorization data, and visit documentation
• Flag documentation gaps to the clinical QA team for correction before submission
• Maintain organized records of submitted claims and submission dates

Compliance & Reporting

• Stay current on home health billing requirements including PDGM, HIPPS codes, and payer-specific rules
• Support transition to Medicare billing as the agency obtains certification
• Contribute to revenue cycle KPI reporting as directed by leadership

Required Qualifications

• 2+ years of medical billing experience, preferably in home health
• Working knowledge of PDGM and HIPPS code assignment
• Proficiency with ICD-10-CM coding for home health (HCS-D preferred)
• Understanding of episode-based billing and visit validation processes
• Proficiency with at least one EMR or home health billing platform
• Strong attention to detail and ability to manage claim queues independently
• Reliable internet connection and professional remote work setup
• Strong written English communication skills

Preferred Qualifications

• Experience billing for Medicare, Medicare Advantage, Medicaid HMOs, and commercial payers
• CPB, CPC-H, or equivalent coding credential
• Familiarity with OASIS documentation and its relationship to coding and grouping
• Experience supporting a growing or newly accrediting home health agency

What We Offer

• Fully remote position with flexible scheduling
• Long-term engagement opportunity as the agency grows
• Insurance

Job Type: Part-time

Pay: Php240.79 per hour

Benefits:

• Company Christmas gift
• Health insurance
• Opportunities for promotion
• Paid training
• Pay raise
• Work from home

Application Question(s):

• The patient has two qualifying diagnoses. How do you determine which one is primary under PDGM, and what happens to reimbursement if you sequence them wrong?
• Describe your experience with PDGM billing. How does OASIS documentation affect claim grouping and HIPPS code assignment?
• What is the difference between ICD-10 primary and secondary diagnosis sequencing in home health, and why does it matter?
• You have a completed visit, but the clinician's note is late. Do you hold the claim or submit and correct it later? What are the risks either way?
• A visit was completed, but the physician's order on file doesn't match the discipline billed. Do you submit, hold, or correct — and what exactly needs to happen before that claim goes out?
• What do you know about the RAP process, and how does it affect cash flow in the first 30 days of an episode?

Work Location: Remote