Job Description

About PathWell Home Health

PathWell Home Health is a Medicare-certified home health and hospice provider committed to delivering exceptional, patient-centered care across multiple U.S. markets. We partner with physicians, hospitals, and nursing homes to help patients transition safely to the comfort of their own homes, where they can recover, manage chronic conditions, and maintain their independence.

Our clinical team—comprised of skilled nurses and licensed therapists—provides compassionate, evidence-based care while driving superior patient outcomes and ensuring regulatory compliance.

At PathWell, we understand that quality care begins with strong operational support. Our coding and OASIS review team plays a vital role in maintaining documentation accuracy, meeting CMS requirements, and optimizing reimbursement—allowing our clinicians to focus on what matters most: caring for patients.

Position Overview

The Home Health Coder & OASIS Reviewer is responsible for accurately coding and reviewing OASIS documentation in accordance with CMS guidelines and agency policies. This role requires expertise in ICD-10 coding, home health regulations, and OASIS-E, as well as the ability to collaborate effectively with clinical staff to improve documentation quality and reduce claim denials

Key Responsibilities

• Review OASIS Start of Care (SOC), Recertification, and Discharge documentation for accuracy, compliance, and completeness.
• Assign and validate ICD-10 codes to ensure proper reimbursement and regulatory adherence.
• Conduct a dual-level review process (initial coding and final audit) before submission.
• Collaborate with clinicians to clarify documentation and ensure coding reflects the patient’s clinical status and care provided.
• Provide education and feedback to clinical staff to strengthen documentation practices.
• Support agency efforts related to ADRs, PCR, surveys, and OASIS training.
• Maintain up-to-date knowledge of CMS regulations, OASIS-E requirements, and ICD-10 updates.
• Protect patient confidentiality and agency information at all times..

Qualifications

Required:

• High school diploma or equivalent.
• HCS-D certification and OASIS certification, or willingness to obtain within 6 months of hire.
• Strong knowledge of ICD-10 coding for home health.
• Experience with OASIS review (OASIS-C2/E preferred).
• Excellent written and verbal communication skills.
• Proficiency with EMR systems and Microsoft Office Suite.
• Exceptional attention to detail and accuracy.

Preferred:

• RN, LPN, or other clinical licensure.
• Prior experience as a home health coder, reviewer, or QA specialist.
• Familiarity with Medicare/Medicaid home health regulations.

Work Environment & Schedule

• Remote work – must have secure high-speed internet and a quiet, professional workspace.
• Must provide your own laptop or desktop computer that meets security requirements.
• Flexible hours with deadlines based on case assignments.
• Must be available for occasional urgent reviews or clarifications.

Compensation

• Competitive per-review rate based on experience and accuracy.
• Opportunities for performance-based increases.
• Flexible, work-from-home environment.
• Complimentary access to ongoing OASIS and coding training.
• Supportive leadership and opportunities for career growth in home health compliance and quality.