Job Description

Pointwest is looking for experienced Home Health Medical Coders & Billers to support our US-based clients. The ideal candidate has at least 2 years of experience in Home Health coding and billing, is familiar with OASIS documentation, PDGM, and CMS guidelines, and has hands-on experience using EMR systems such as HCHB, Kinnser, Axxess, DeVero, or AlayaCare.

You will be responsible for accurate coding, clean claims submission, AR follow-ups, and coordination with client-side QA and compliance teams. This role plays a critical part in client satisfaction and overall service delivery.

We value Leadership, Excellence, and Innovation, and cultivate a culture of Agility, Accountability, Innovation, Collaboration, and Customer Centricity.

Key Responsibilities

Assign accurate ICD-10-CM codes based on OASIS and clinical documentation

Ensure compliance with CMS, HIPAA, PDGM, and PPS guidelines

Submit clean claims and manage AR using EMR systems (e.g., HCHB, Kinnser, Axxess)

Handle claim denials, resubmissions, and AR follow-ups

Collaborate with QA and compliance teams of US-based clients

Recommend improvements to documentation or billing workflows

Participate in trainings and help upskill the team

Performance Metrics

95%+ coding accuracy rate

Timely and clean claim submission

Denial resolution turnaround time

Client satisfaction and retention

Adoption of process improvements

Training and knowledge-sharing contributions

Qualifications

Minimum 2 years of Home Health coding experience (required)

CPC or HCS-D certification (preferred)

Proficiency in ICD-10-CM, OASIS-D, PDGM, LUPA, and HCPCS

Familiarity with EMR systems like HCHB, Kinnser, Axxess, DeVero, or AlayaCare

Knowledge of CMS guidelines and Home Health PPS

Strong written and verbal English communication skills

Work Setup

Location: PH-based, with 3 months onsite (Work-in-Office)

Schedule: US business hours / Graveyard shift

Tools Provided: EMR access, communication tools (Zoom, Slack), etc.