Medical Coder

2 days ago

Sacramento, California, United States Applied Palliative and Hospice Services,Inc. Full time

Benefits:

  • 401(k)
  • 401(k) matching
  • Company parties
  • Dental insurance
  • Health insurance
  • Opportunity for advancement
  • Paid time off
  • Training & development
  • Vision insurance

Position Overview

The ICD-10 Home Health & Hospice Medical Coder is responsible for accurately reviewing, analyzing, and assigning ICD-10-CM diagnosis codes to clinical documentation for home health and hospice services. This role ensures compliance with CMS guidelines, OASIS requirements, and agency policies to support precise reimbursement, high-quality patient care, and regulatory compliance.

The ideal candidate has demonstrated experience in Home Health ICD-10 coding, strong knowledge of OASIS/Evaluation criteria, and a thorough understanding of PDGM (Patient-Driven Groupings Model).

Key Responsibilities

Coding & Documentation Review

  • Review clinical documentation to identify appropriate and accurate ICD-10-CM codes for home health and hospice encounters.
  • Assign primary and secondary diagnoses following CMS, PDGM, and regulatory requirements.
  • Validate medical necessity and ensure coding supports the plan of care and services rendered.
  • Review and interpret physician orders, clinical notes, OASIS assessments, and other documentation to ensure accurate code selection.

Quality, Compliance & Auditing

  • Ensure all coding aligns with CMS, industry, and agency standards, including PDGM/PEPPER guidelines.
  • Conduct self-audits or participate in agency coding audits to maintain accuracy and compliance.
  • Assist with corrections and updates based on audit findings or regulatory changes.
  • Maintain strict confidentiality and follow HIPAA requirements.

Collaboration & Communication

  • Communicate with clinicians, QA staff, and the billing department to clarify diagnoses, resolve documentation discrepancies, and improve coding accuracy.
  • Provide feedback to clinical staff regarding documentation gaps that impact coding or reimbursement.
  • Participate in training or educational sessions to enhance coding competency and knowledge of industry updates.

Data Integrity & Workflow Management

  • Complete coding assignments within established departmental timelines.
  • Ensure accurate and timely submission of coded encounters for billing and compliance.
  • Assist in optimizing coding workflows, documentation processes, and clinical data accuracy.

Required Qualifications

  • Minimum 2 years of Home Health ICD-10 coding experience (required).
  • Certification from a recognized credentialing body such as:
  • HCS-D (Home Care Coding Specialist–Diagnosis) – preferred
    • CPC, CCS, COC, or RHIT/RHIA accepted with Home Health-specific experience
  • Strong understanding of PDGM, OASIS documentation requirements, and Medicare regulations.
  • Experience with home health EMR systems (e.g., Homecare Homebase, WellSky/Kinnser, MatrixCare).
  • Excellent analytical, critical-thinking, and documentation review skills.
  • Strong understanding of pathophysiology, medical terminology, and clinical documentation requirements.

Preferred Qualifications

  • Hospice coding experience (ICD-10-CM) strongly preferred.
  • Knowledge of HIS (Hospice Item Set) and hospice regulatory requirements.
  • Experience working remotely or in a high-volume coding environment.
  • Familiarity with PEPPER reports and quality metrics for home health agencies.

  • Charge Audit Analyst

    2 weeks ago

    Sacramento, California, United States Sutter Health Full time

    We are so glad you are interested in joining Sutter HealthOrganizationS3-Sutter Shared Services-ValleyPosition OverviewResponsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and coding staff and root cause correction to support accurate...

  • Revenue Integrity Program Manager

    2 weeks ago

    Sacramento, California, United States Stanford Health Care Full time $104,000 - $208,000 per year

    1.0 FTE Full time Day - 08 Hour R Remote USA Rev Cycle Admin Revenue Integrity Finance & Revenue CycleIf you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered.Day - 08 Hour (United States of America)This is a Stanford Health Care job.A...

  • Medical Coder

    1 week ago

    Sacramento, United States US Tech Solutions Full time

    Duration :: 13 Weeks ContractOverviewSeeking experienced Professional Fee (Pro Fee)–focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation improvement initiatives. These roles are high-visibility and require strong communication and presentation skills to engage directly with...

  • Medical Coder

    1 week ago

    Sacramento, United States US Tech Solutions Full time

    Duration :: 13 Weeks ContractOverviewSeeking experienced Professional Fee (Pro Fee)–focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation improvement initiatives. These roles are high-visibility and require strong communication and presentation skills to engage directly with...

  • Medical Coder

    1 week ago

    Sacramento, United States Ustech Solutions Full time

    Title- Coding Educator Duration- Temp-to-Hire, 13 WeeksLocation: Hybrid – Mostly Remote with Local Travel in Sacramento, CA 95815Shift- M-F, 8 am to 5 pm OverviewClient is seeking experienced Professional Fee (Pro Fee)–focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation...

  • Medical Coder

    6 days ago

    Sacramento, United States US Tech Solutions Full time

    Duration :: 13 Weeks ContractOverviewSeeking experienced Professional Fee (Pro Fee)–focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation improvement initiatives. These roles are high-visibility and require strong communication and presentation skills to engage directly with...

  • Medical Coder

    1 week ago

    Sacramento, United States Ustech Solutions Full time

    Title- Coding Educator Duration- Temp-to-Hire, 13 WeeksLocation: Hybrid – Mostly Remote with Local Travel in Sacramento, CA 95815Shift- M-F, 8 am to 5 pm OverviewClient is seeking experienced Professional Fee (Pro Fee)–focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation...

  • Medical Coder

    1 week ago

    Sacramento, United States US Tech Solutions Full time

    Duration :: 13 Weeks ContractOverviewSeeking experienced Professional Fee (Pro Fee)focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation improvement initiatives. These roles are high-visibility and require strong communication and presentation skills to engage directly with clinicians...

  • Medical Coder

    4 days ago

    Sacramento, CA, United States US Tech Solutions Full time

    Duration :: 13 Weeks Contract Overview Seeking experienced Professional Fee (Pro Fee)–focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation improvement initiatives. These roles are high-visibility and require strong communication and presentation skills to engage directly with...

  • Medical Coder

    1 week ago

    Sacramento, CA, United States US Tech Solutions Full time

    Duration :: 13 Weeks Contract Seeking experienced Professional Fee (Pro Fee)–focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation improvement initiatives. Candidates must live within the client geographic footprint and be available for occasional on-site work and local travel. ...

  • Medical Coder

    1 week ago

    Sacramento, CA, United States Ustech Solutions Full time

    Title- Coding Educator Duration- Temp-to-Hire, 13 Weeks Location: Hybrid – Mostly Remote with Local Travel in Sacramento, CA 95815 Shift- M-F, 8 am to 5 pm Client is seeking experienced Professional Fee (Pro Fee)–focused Coding Educators to support large-scale chart review, coding accuracy validation, physician education, and documentation...

  • Profee Coder Surgical Urology

    3 weeks ago

    Sacramento, United States Banner Health Full time

    Join to apply for the Profee Coder Surgical Urology role at Banner Health. Estimated Pay Range: $23.16 - $34.74 / hour, based on location, education, & experience. Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned...