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RCM coordinator (home health billing and coding)

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Job Description - RCM coordinator (home health billing and coding)


 RCM Coordinator (Home Health Billing & Coding) – Remote (US-Based)
Position Type:
Full-Time | Work From Home
Location:
United States (Remote)
About the Role:
We are seeking a Revenue Cycle Management (RCM) Coordinator with proven experience in Home Health medical billing and coding. The ideal candidate will oversee day-to-day billing, coding, and claims management operations, ensuring compliance, accuracy, and timely reimbursement. Experience in coordinating with offshore-based RCM teams is highly preferred. This position offers the opportunity to work independently while collaborating virtually with both US and offshore teams to optimize revenue cycle efficiency.
Key Responsibilities:
  • Oversee and coordinate all aspects of the Home Health billing and coding cycle, from charge capture to claims submission and payment posting.
  • Ensure timely and accurate submission of electronic and paper claims to payers.
  • Monitor AR (Accounts Receivable) aging reports and follow up on unpaid or denied claims.
  • Review, analyze, and correct claim errors to minimize denials and maximize reimbursement.
  • Collaborate closely with offshore billing and coding teams, providing guidance, performance feedback, and ensuring adherence to US billing standards and compliance requirements.
  • Conduct quality audits of coding and billing work performed offshore to maintain accuracy and compliance.
  • Maintain up-to-date knowledge of Home Health billing regulations, CMS guidelines, and payer requirements.
  • Prepare RCM performance reports and recommend process improvements to enhance efficiency.
  • Serve as a liaison between internal departments, offshore teams, and external stakeholders.
Qualifications:
  • Minimum 3–5 years of experience in Home Health medical billing and coding.
  • Strong knowledge of Medicare, Medicaid, and commercial payer billing requirements.
  • Familiarity with OASIS, HHABN, and HIPAA compliance standards.
  • Proven experience coordinating or managing offshore RCM teams (billing, coding, or AR follow-up).
  • Proficiency in RCM or EMR systems (e.g., Homecare Homebase, WellSky, MatrixCare, or similar).
  • Excellent analytical, organizational, and communication skills.
  • Ability to work independently in a remote, fast-paced environment.
  • Certification in Medical Billing and Coding (CPC, CBCS, or equivalent) is required.

 
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