Home Health Medical Coder Jobs Pune

Job Description

Key Responsibilities

Evaluate pre-lock medical charts for U.S. home health patients, extracting clinical data and establishing the correct diagnostic sequence.
Cross-examine OASIS data sets against nursing narratives to identify gaps, conflicting information, or omissions, ensuring rapid reconciliation before final submission.
Interpret and apply federal home care coding regulations, Patient-Driven Groupings Model (PDGM) parameters, and official clinical instruction sets.
Deliver error-free diagnosis code entry, adhering strictly to our 95%+ quality benchmark while managing day-to-day processing deadlines.
Hit targeted daily productivity metrics to prevent administrative backlogs and keep the client's revenue cycle moving efficiently.
Provide clear, actionable feedback to home health field staff regarding documentation policies and best practices.
Spot potential compliance vulnerabilities, incorrect code assignments, or structural documentation gaps, escalating them according to standard protocols.
Manage comprehensive electronic coding registries and performance logs in alignment with corporate data governance standards.
Initiate professional provider queries when clinical records contain ambiguities that affect code assignment or risk adjustment tracking.
Assist supervisors with specialized data audits or workflow optimizations as operational needs evolve.

2 to 6 years of hands-on expertise in the U.S. home health coding vertical.
Masterful understanding of ICD-10-CM diagnostic structures, coding conventions, and clinical modifiers.
Proven track record auditing OASIS documents within a fast-paced production environment.
Solid understanding of denial management fundamentals and CMS home health coverage criteria.
Professional certification (CPC, CCS, HCS-D, or BCHH-C) is highly valued, or a commitment to earn it rapidly post-hire.
Bachelor's degree or higher, preferably in pharmacy, physiotherapy, or relevant life science disciplines.

Meticulous attention to detail with an independent problem-solving approach to chart analysis.
Strong adaptive skills to navigate complex electronic health records (EHR) and Microsoft Office suites.
Exceptional cross-border communication skills (both oral and written) for clear professional correspondence.
Demonstrated capability to thrive and maintain accuracy under strict, daily turnaround times.
Complete dedication to data privacy, HIPAA protocols, and healthcare security standards.

Tailored orientation covering proprietary 3Gen billing workflows and specific client EHR setups is provided to all new hires.
Ideal opportunity to master advanced risk adjustment coding scenarios during a defining era of U.S. healthcare reform.
Competitive compensation packages coupled with clear, merit-based career advancement tracking.