RCM coordinator (home health billing and coding)

Position Overview

We are seeking a Revenue Cycle Management (RCM) Coordinator specializing in Home Health billing and coding. In this Full-Time and Remote role based in the United States, you will oversee day-to-day billing, coding, and claims management operations—ensuring compliance, accuracy, and timely reimbursement. You will 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 and performance feedback while 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.

Required 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.