RCM coordinator (home health billing and coding)

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