RCM coordinator (home health billing and coding) jobs in United States
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Pointwest-North America · 3 months ago

RCM coordinator (home health billing and coding)

Pointwest-North America is seeking a Revenue Cycle Management (RCM) Coordinator with proven experience in Home Health medical billing and coding. The role involves overseeing billing, coding, and claims management operations to ensure compliance, accuracy, and timely reimbursement.

Information Technology & Services

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

Qualification

Home Health billingMedical codingRCM systems proficiencyMedicare billing knowledgeHIPAA complianceAnalytical skillsCertification in Medical BillingOrganizational skillsCommunication skills

Required

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

Preferred

Experience in coordinating with offshore-based RCM teams is highly preferred

Company

Pointwest-North America

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At Pointwest Technologies Corp., we're passionate about helping businesses succeed in today's fast-paced digital landscape.

Funding

Current Stage
Growth Stage
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