Join our growing healthcare operations team in Mysore. We are looking for sharp, detail-oriented coders to manage pre-lock chart abstraction, audit complex OASIS data sets, and secure compliance for U.S Jobs. home health providers under the latest V28 reimbursement models.
Job Description
Key Responsibilities
Analyze and abstract clinical documentation from U.S. home health records prior to billing locks, ensuring highly accurate ICD-10-CM code assignments.
Conduct deep-dive audits of OASIS assessments to pinpoint inconsistencies, clinical mismatches, or missing documentation metrics, facilitating swift corrective actions.
Stay rigorously aligned with official CMS guidelines, Home Health Prospective Payment System (HH PPS) requirements, and changing federal coding regulations.
Maintain an uncompromising 95% or higher accuracy standard while sequencing and processing complex diagnostic codes within tight operational turnaround windows.
Consistently achieve daily workflow quotas and clinical quality targets to support steady revenue cycle progression for our clients.
Act as a reliable clinical resource for on-shore agency staff, clarifying intricate documentation requirements and internal compliance rules.
Proactively identify compliance red flags, systemic documentation gaps, or coding oversights, reporting them through established internal channels.
Keep pristine digital logs, audit trails, and necessary background documentation in full compliance with corporate data retention policies.
Draft clear, professional clarification requests to clinical stakeholders whenever medical records require further physician elaboration.
Execute additional operational tasks as assigned by the team lead to keep the day-shift workflow moving efficiently.
Qualifications
2–6 years of dedicated experience specializing in U.S. Home Health medical coding.
Deep operational familiarity with ICD-10-CM diagnostic sequencing, CPT, and HCPCS coding systems.
Practical, hands-on exposure to OASIS-E data elements and home health agency clinical workflows.
Strong working knowledge of federal compliance mandates, denial prevention strategies, and CMS prospective payment guidelines.
Active professional credentials such as HCS-D, BCHH-C, CPC, or CCS are highly preferred.
University degree in life sciences, nursing, or an equivalent healthcare administration background.
Skills
Sharp analytical mindset with the ability to work independently on highly technical charts.
Complete proficiency in major Microsoft Office applications alongside ease in navigating cloud-based EHR platforms.
Excellent written and verbal communication skills, tailored for cross-border professional collaboration.
Proven ability to manage a heavy workload and meet production deadlines without compromising on data quality.
Absolute commitment to data privacy, HIPAA regulations, and strict confidentiality protocols.
Additional information
Comprehensive, client-specific system training and platform orientation will be provided upon onboarding.
This position offers direct exposure to highly complex, multi-morbid U.S. home care cases under the active V28 HCC framework.
Excellent professional growth pathways within 3Gen Consulting’s expanding global revenue cycle network.