Job Summary
The Home Health Coder is responsible for reviewing and assigning accurate ICD-10-CM diagnosis codes to home health services, in compliance with CMS guidelines, OASIS data collection requirements, and internal coding policies. This role ensures documentation supports the medical necessity of services provided and contributes to timely and accurate billing for home health care encounters. Additional duties may include assisting with outpatient or facility coding tasks as assigned, based on workload and departmental priorities.
Responsibilities*
- Review OASIS assessments, clinician documentation, and other medical record components to assign appropriate ICD-10-CM codes.
- Ensure coding supports the patient?s plan of care and aligns with CMS guidelines, coding conventions, and regulations for home health services.
- Query clinicians for clarification when documentation is ambiguous, conflicting, or incomplete.
- Monitor coding edits and resolve coding-related rejections or denials in collaboration with billing and clinical staff.
- Maintain productivity and quality standards in accordance with department expectations.
- Participate in internal and external audits, quality improvement initiatives, and education sessions related to coding and documentation improvement.
- Keep current with coding guidelines, CMS updates, and regulatory changes impacting home health coding.
Required Qualifications*
- High school diploma or equivalent.
- Active credential from AAPC (e.g., CPC, CRC) or AHIMA (e.g., CCS, RHIT, RHIA).
- Minimum of 2 years of ICD-10-CM coding experience in home health or post-acute care settings.
- Strong understanding of OASIS documentation, PDGM (Patient-Driven Groupings Model) and CMS home health regulations.
- Familiarity with coding software tools and EHR systems (Epic).
- Ability to work independently with minimal supervision and maintain high accuracy.
Desired Qualifications*
- Associate?s or Bachelor?s degree in health information management, Nursing, or a related field.
- Experience coding under the PDGM model.
- Knowledge of home health quality metrics and how coding impacts reimbursement.
- Prior experience with remote coding in a productivity-based environment.
Modes of Work
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.
Background Screening
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
Application Deadline
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.
U-M EEO Statement
The University of Michigan is an equal employment opportunity employer.