Westminster-Canterbury on Chesapeake Bay & Senior Options, LLC

Medical Billing and Coding

• Review home health and hospice clinical documentation across all time points (SOC, ROC, Recertification, Transfer, Discharge, Admission) to assign accurate ICD-10-CM diagnosis codes.
• Sequence diagnoses in strict compliance with ICD-10-CM guidelines, CMS requirements, PDGM payment methodologies, and hospice coding expectations.
• Audit clinical charts to identify documentation gaps or inconsistencies, and collaborate with clinical leadership or compliance teams to resolve query needs.
• Support revenue cycle efficiency by meeting established productivity and turnaround time goals to prevent delays in billing and claim submissions.
• Assist with internal quality assurance and external medical reviews, including TPE, ADRs, and compliance audits.
• Collaborate cross-functionally with clinical, QA, compliance, and revenue cycle teams to drive documentation integrity and regulatory readiness.

ICD-10 Coding Specialist, Home Health & Hospice