Required Home Health Administrator with RN and Coding Experience
Company: Everest Peak Home Health (Based in Los Angeles, CA) Job Type: Full-time / Part-time/ Contract About Us: Everest Peak Home Health is a Los Angeles-based home health agency dedicated to delivering compassionate, high-quality care to patients in their homes. We are seeking a unique, dual-skilled professional – a Registered Nurse who combines home health administration expertise with strong home health coding knowledge – to join our remote team in the Philippines. The Role: This is a hybrid leadership position. You will oversee clinical operations, ensure regulatory compliance, and manage administrative workflows – while also applying your coding expertise to review OASIS assessments, optimize reimbursement, and reduce claim denials. If you are an RN who understands how to run a home health agency and knows how to code properly, this role is for you. Key Responsibilities: *Home Health Administration:* - Oversee day-to-day clinical and administrative operations of the home health agency. - Ensure compliance with CMS regulations, Medicare conditions of participation, and state/federal home health guidelines. - Supervise and support remote clinical staff (nurses, therapists, aides) and administrative personnel. - Manage patient intake, scheduling, care coordination, and discharge planning workflows. - Monitor agency performance metrics (quality outcomes, patient satisfaction, financial performance). - Implement process improvements to enhance efficiency and patient care quality. *Home Health Coding & OASIS Review:* - Review and validate OASIS-E assessments for accuracy, completeness, and compliance. - Assign ICD-10-CM diagnosis codes based on clinical documentation and PDGM guidelines. - Ensure OASIS data supports the assigned codes and reflects patient acuity, functional status, and severity. - Collaborate with field clinicians to improve documentation and coding accuracy. - Conduct pre-claim and post-claim reviews to reduce denials and improve reimbursement. - Stay current with CMS updates, PDGM changes, and OASIS-E guidance. Qualifications: - Active RN license (Philippines – must be valid and in good standing). - Minimum 3 years of home health administration or management experience (US home health preferred). - Minimum 2 years of home health coding experience with OASIS review. - Certified OASIS Specialist‑Clinical (COS‑C) and/or Home Health Coding Specialist (HCS‑D) strongly preferred (or willingness to obtain within 6 months). - Deep understanding of OASIS data items, ICD-10 coding, PDGM, and Medicare home health regulations. - Proficient with EMR/EHR systems (e.g., Kinnser, WellSky, HCHB, or similar). - Strong written and verbal English communication skills. - Self-motivated, detail-oriented, and comfortable working independently in a remote environment. - Reliable high-speed internet connection and a professional home office setup. What We Offer: - Competitive salary – discussed during interview based on experience. - Comprehensive benefits package (details provided to final candidates). - 100% remote – work from anywhere in the Philippines. - Opportunity to grow with a supportive, US-based home health agency. - A leadership role where your clinical and coding expertise are equally valued. How to Apply: Please submit your resume through Indeed. IMPORTANT: In your cover letter or message, clearly indicate your years of home health administration experience and years of home health coding experience, including any certifications held (COS-C, HCS-D, etc.). Only candidates with relevant US home health administration and coding experience will be contacted for an initial screening, where salary and benefits will be discussed in detail. Everest Peak Home Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all remote team members. Work Location: Remote