Care at Home is a proud member of Tufts Medicine, a health system that is rethinking how academic and community centers, local and national businesses, and technology and service innovators can all work together. So that clinicians can deliver expert care where it’s needed most. And, so that we can bring wellness back to health care, one person at a time. 

Why Join Us?  Benefits you will love, Generous earned time package, Retirement plan with employer match, Tuition reimbursement and More!  

Under the guidance of the Director of Coding/Clinical Documentation, the Home Health/Hospice Coder-QA Specialist provides guidance to other members of the clinical team on overall quality and completeness of clinical documentation.  The Home Health Coder-QA Specialist is responsible for assigning ICD 10 diagnoses codes to ensure accuracy and completeness.  Effectively collaborates from the back office and in the field with agency clinical leadership and clinicians to support accurate collection of patient assessment information for the Oasis.  Promotes excellence in patient care by focusing on patient practice and accurate clinical Plan of Care/Order completion.  Ensures accurate coding and Oasis scoring according to regulatory guidelines. Monitors and participates in clinical record review process for quality metrics and billing.   

Essential Functions: 

• Coding  
• Review, research (as needed), and respond to coding questions. 
• Perform random chart audits. 
• Codes diagnoses and procedures from the medical record using ICD-10 and CPT-4/HCPCS classification systems as required by regulation. 
• Sequences diagnoses, procedures and complications by following current regulatory guidelines. 
• Auditing and Quality Assurance Oversight 
• Conducts quality reviews to validate coding and PDGM group assignments to ensure compliance with Coding Guidelines as assigned. 
• Evaluates documentation for incomplete or inconsistent documentation in the record, which affects coding and PDGM assignment. Participates in documentation review as part of the Clinical Documentation Improvement Program.  

Position Type/Expected Hours of Work & Travel 

This is a per diem position.

• Bachelor’s degree or equivalent combination of formal education and experience. 
• ICD-10 Certification credentials (HCS-D and/or HCS-H) required.  
• Active clinical license in nursing, physical or occupational therapy in any of the states in which CAH providers practice. 
• Oasis certification required. 
• At least two years of experience in home health and hospice coding required; experience in education/mentoring/training preferred.  

All of your information will be kept confidential according to EEO guidelines.

AAP/EEO Statement

Care at Home is an Equal Opportunity Employer and dedicated to the goal of building a diverse and inclusive workplace that reflects the patient population in which we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable law. Care at Home is especially interested in candidates who, through their service, training and experience, will contribute to the diversity and excellence of our health care community.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.