Senior Medical Coder

Job Summary:

We are seeking an experienced and detail-oriented Home Health Coding and Clinical Reviewer with expertise in ICD-10 coding, OASIS-E assessments, and Plan of Care (POC) reviews at Levels 1(coding) to 3(coding, oasis and POC).

The ideal candidate will ensure clinical documentation accuracy, regulatory compliance, and optimal reimbursement through precise coding and thorough review of patient records.

This role plays a critical part in maintaining quality care standards while supporting operational efficiency in our home health agencies.

Key Responsibilites:

1. ICD-10 Coding

• Assign accurate

  ICD-10-CM diagnosis codes

  for home health episodes in accordance with CMS and agency guidelines.
• Ensure coding supports medical necessity and aligns with the Plan of Care.
• Validate primary and secondary diagnoses for accuracy and compliance.

2. OASIS-E Review

• Review

  OASIS-E assessments

  for completeness, accuracy, and compliance with CMS guidelines.
• Identify and correct inconsistencies in assessment data and documentation.
• Provide feedback to clinicians to improve accuracy and quality of OASIS submissions.

3. Plan of Care (POC) Review - Level 2&3

• Review POCs for regulatory compliance, patient-centered goals, and accurate service frequency.
• Ensure care plans reflect patient needs, functional status, and physician orders.
• Collaborate with field clinicians to resolve discrepancies and clarify orders.

4. Quality & Compliance

• Maintain up-to-date knowledge of

  CMS regulations and PDGM

  requirements.
• Perform internal audits of documentation to ensure compliance and accuracy.
• Support clinical staff education on documentation and coding best practices.

Qualifications & Requirements:

• Minimum 1

  –3 years

  in home health coding, OASIS review, and POC.
• Strong understanding of

  PDGM

  and CMS compliance requirements.
• Proficient in

  ICD-10-CM coding guidelines

  and sequencing rules.
• Expertise in

  OASIS-E

  data sets and scoring.
• Detail-oriented with strong analytical and problem-solving skills.
• Excellent communication and collaboration skills.
• Proficiency with EMR/EHR systems (e.g., HCHB, Kinnser ect.)

Work Environment:

• Location:

  Chennai

• Schedule:

  Full-time; flexible scheduling may be available( WFO and WFH)

Why Join Us?

• Competitive salary and benefits package
• Collaborative and supportive team culture
• Opportunity to contribute to high-quality patient care in a growing home health organization