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
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
At Pointwest Technologies Corp., we're passionate about helping businesses succeed in today's fast-paced digital landscape.
Funding
Current Stage
Growth StageCompany data provided by crunchbase