Appliedhospice
Sacramento, CA
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...