Pointwest Technologies Corp

Compensation

Full Description

RCM Coordinator (Home Health Billing & Coding) – Remote (US-Based) Position Type: Full-Time | Work From Home Location: United States (Remote) About the Role: We are seeking a Revenue Cycle Management (RCM) Coordinator with proven experience in Home Health medical billing and coding. The ideal candidate will oversee day-to-day billing, coding, and claims management operations, ensuring compliance, accuracy, and timely reimbursement. Experience in coordinating with offshore-based RCM teams is highly preferred. This position offers the opportunity to work independently while collaborating virtually with both US and offshore teams to optimize revenue cycle efficiency. 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.