Careers

Position Overview:

We are looking for a detail-oriented and experienced Team Leader to oversee a team of medical coders in the Philippines. The role is integral to ensuring that all coding activities meet quality standards and regulatory guidelines, while also managing daily operations, team performance, and client communications. You will be responsible for leading and mentoring your team, driving performance improvements, and ensuring efficient coding processes. Your leadership will contribute to the accuracy, timeliness, and success of the coding team and will directly impact the agency’s overall performance metrics, including star ratings.

We Offer:

We offer:

• Day 1 HMO for principal plus 1 dependent (conditions apply)
• Permanent work from home
• Fixed weekends off
• Annual Merit Increase
• Loyalty Bonus
• Company-provided assets
• Guaranteed best in industry compensation package
• Government mandated benefits & other company benefits

Key Requirements:

Education & Experience:

• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar medical coding certification like HCS-D or HCS-O is required.
• Expertise in ICD-10, OASIS, and CMS guidelines.
• Minimum of 3-5 years of experience in medical coding, with at least 1-2 years in a leadership or supervisory role.
• Proficiency in using medical coding software, EHR systems, and Microsoft Office Suite (Excel, Word, PowerPoint).

Skills & Competencies:

• Leadership: Strong ability to lead, motivate, and mentor a team, with a focus on improving performance and quality.
• Communication: Excellent written and verbal communication skills, with the ability to engage with both internal teams and external clients.
• Quality Focus: Strong attention to detail and a commitment to maintaining high coding standards.
• Problem-Solving: Ability to troubleshoot and resolve issues related to coding, staffing, or workflow.
• Time Management: Ability to handle multiple tasks, prioritize effectively, and meet deadlines.
• Adaptability: Ability to adapt to new coding guidelines, tools, and changes in client requirements.

Additional Requirements:

• Fluent in English, both written and spoken.
• Strong understanding of HIPAA compliance and confidentiality standards.
• Ability to work under pressure and handle sensitive situations with professionalism.
• Flexibility in working hours, including availability for overtime or weekend work as needed.

Key Responsibilities:

Team Management & Leadership:

• Lead, motivate, and supervise a team of medical coders, ensuring consistent performance and adherence to quality standards.
• Communicate priorities, updates, and issues to the team in a timely manner.
• Coach each team member monthly or weekly if performance issues arise (e.g., low QA scores, attendance).
• Conduct monthly one-on-one coaching sessions, and provide feedback, training, and education to coders to address any issues.
• Manage staffing requirements, including attendance, leave, and attrition, ensuring proper communication with management.
• Track and monitor team member allocations and completion progress, ensuring that all priority charts are completed on time.
• Perform spot checks on coding work to maintain high quality and accuracy.

Quality Control & Reporting:

• Ensure that all client folders, materials, and trackers on SharePoint are regularly updated, complete, and compliant with agency standards.
• Ensure timely submission of daily, weekly, and monthly reports, including team KPIs, CREs (Clinician Error Reports), and coding performance.
• Review, validate, and track CREs, providing feedback to individuals and conducting team-wide reinforcement sessions on common issues.
• Identify trends and address performance concerns (e.g., missed deadlines, quality issues) by coaching and implementing corrective actions.
• Ensure all forms are uploaded to Clinix and SharePoint, and track progress using appropriate trackers (e.g., Prod Log, Clinician Error Tracker, Pended Charts).

Client & Internal Communication:

• Serve as the primary point of contact for communication between the coding team, management, and clients.
• Attend assigned agency update calls and ensure your team members are present, engaging in discussions and contributing to the workflow.
• Respond to client and internal emails promptly and professionally, ensuring that all queries are addressed within established timelines.
• Prepare summaries and updates for agency calls and meetings, ensuring that all required information is documented and communicated clearly.

Performance Monitoring & Issue Resolution:

• Monitor team performance and productivity, tracking key metrics such as coding accuracy, turnaround time, and volume completion.
• Flag any issues or bottlenecks in the coding process to management, ensuring that actions are taken to address challenges.
• Track attendance, report absences, and ensure team members are adhering to work schedules.
• Ensure all work is allocated based on targets and agency assignments, and recheck workability during low-volume days.

Daily, Weekly, and Monthly Tasks:

• Daily: Check team attendance, monitor work allocation, update trackers, and handle CREs and priority tasks.
• Weekly: Conduct team huddles, plot coaching sessions, monitor KPIs, attend relevant meetings, and report on team performance.
• Monthly: Submit MTD (Month-to-Date) performance reports, review and track team KPIs, and ensure all coding activities are logged and documented.

Key Deliverables:

• SharePoint: Ensure all client folders, individual folders, materials, and trackers are updated regularly.
• Reports: Send reports on time, including performance metrics, CREs, and staffing updates.
• Emails: Respond to all agency and internal emails in a timely manner.
• CREs: Ensure all CREs are reviewed, validated, and tracked, with feedback and educational reinforcement given to the team.
• Staffing: Communicate attendance, leaves, and attrition to management effectively.
• Allocation: Assign tasks based on targets and agency requirements, monitor work completion, and ensure priority charts are completed.
• Communication: Maintain clear and effective communication with the team, management, and clients.
• Coaching: Coach team members monthly, or more frequently if performance issues arise (e.g., QA scores below 98%)

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Job Title: RN Hybrid Intake Coordinators (Clinical and Non-Clinical)
Shift: Nigh Shift Philippines Time
Permanent Remote Set up- Philippine-based applicants only

Clinical & Non-Clinical Intake Duties

Referral Assessment

• Review clinical documentation to determine eligibility under home health and hospice guidelines.
• Ensure necessity of care is justified and supported by medical records.

Insurance Verification & Authorization

• Verify patient insurance coverage and benefits.
• Coordinate with authorization teams to secure approvals.

Chart Creation & Documentation Management

• Create patient charts in MatrixCare (EMR) systems.
• Collect and organize discharge paperwork, face-to-face encounter notes, consult notes, facesheets, demographics, insurance information, and medical history.
• Ensure completeness of documentation before SOC (Start of Care) admission.

Physician & Clinical Coordination

• Confirm MD orders and physician involvement.
• Communicate with RN supervisors, case managers, clinicians, marketers, social workers, and medical assistants.
• Conduct background checks on patients to ensure clinician safety.

Patient & Family Engagement

• Conduct welcome calls to patients and families.
• Answer questions related to SOC admission.

Stakeholder Collaboration

• Coordinate with business development teams, marketers, social workers, scheduling teams, and other stakeholders to ensure smooth patient onboarding.
• Route incoming calls to appropriate departments and handle home health/hospice referrals and SOC admission-related concerns.
• Provide updates regarding hospitalization status and transitions of care.

Hospitalization Monitoring

• Track patient hospitalizations and communicate updates to all staff involved in care.

Portal & System Management

• Navigate referral portals (Epic, CarePort Allscripts, CarePort Navi, Ensocare).
• Use insurance portals (Availity, UHC, NGSConnex, CT DSS).
• Access SNF/ALF portals (PointClickCare).

Communication Management

• Handle email and fax correspondence related to referrals and admissions.
• Follow up with providers for missing or incomplete documentation.

Additional Responsibilities (to ensure completeness)

Compliance & Quality Assurance

• Ensure intake processes comply with CMS, state, and payer regulations.
• Maintain HIPAA compliance in all communications and documentation.

Process Improvement

• Identify bottlenecks in intake workflow and recommend improvements.
• Support training of new intake staff when needed.

Cross-Coverage

• Provide backup support to other intake coordinators during high-volume periods.
• Assist with both home health and hospice admissions interchangeably.

Qualifications

• Must be an RN with at least 1 year experience in a hospital setting.
• Background in healthcare intake coordination (home health and/or hospice preferred).
• Strong knowledge of medical documentation, insurance verification, and referral processes.
• Proficiency in EMR systems and referral/insurance portals.
• Excellent communication and multitasking skills.
• Ability to collaborate across clinical and non-clinical teams.

Location: Kochi
Reports To: CEO
Job Type: Full-time

We are seeking an experienced and strategic Manager – Corporate Finance to lead our financial operations and support business growth. The ideal candidate will have strong expertise in U.S. accounting, financial management, and compliance, along with the ability to partner with leadership on key business decisions.

RESPONSIBILITIES

• Lead global finance strategy, budgeting & forecasting
• Oversee accounting, compliance & audits across regions
• Manage cash flow, costs & overall P&L performance
• Strengthen financial controls & governance
• Partner with leadership for strategic decisions
• Drive growth, profitability & value creation

REQUIREMENTS:

• Bachelor’s degree in Accounting, Finance or related field; CA preferred
• 5+ years of hands-on U.S. accounting experience, including month-end close and financial statement preparation
• Proven track record managing accounts receivable for U.S.-based businesses
• Expert-level proficiency in QuickBooks and advanced Excel/Google Sheets
• Deep understanding of U.S. GAAP, IRS regulations and tax-reporting requirements

Location: Kochi
Reports To: Digital Marketing Manager
Job Type: Full-time

We are looking for a proactive and creative Digital Marketing Executive to join our Kakkanad, Kochi Office. The ideal candidate should be a quick learner with a strong aptitude for emerging technologies like AI and IoT, and a passion for digital marketing. This role involves managing social media, creating engaging content, and implementing SEO strategies to enhance brand visibility.

Responsibilities

• Create engaging, high-quality content and narratives
• Manage and grow the company’s LinkedIn presence, including profiles of key personnel
• Plan and execute social media strategies to improve reach and engagement
• Implement SEO strategies based on a solid understanding of search engine optimization
• Use SEO tools to generate and optimize content for better search rankings
• Monitor website performance and apply SEO best practices across different sections
• Run and manage campaigns on platforms like Google Ads
• Prepare and present performance reports using predefined templates
• Conduct outreach and build visibility through LinkedIn and other channels

Requirements

• Bachelor’s degree in any discipline
• 2–3 years of experience in digital marketing
• Agency experience is preferred
• Hands-on experience with SEO and tools like Google Ads
• Familiarity with LinkedIn marketing and personal branding strategies
• Basic understanding of AI tools and their application in marketing
• AI certifications will be an added advantage
• Strong communication and content creation skills
• Ability to learn quickly and adapt in a fast-paced environment

Location: Kochi (Work from office only)
Reports To: Product Manager
Job Type: Full-time (10 a.m. – 7:00 p.m. IST)

Job Summary:

The Python Developer is responsible for designing, developing, and maintaining Python-based applications and services. This role involves building and consuming RESTful APIs, writing clean and well-documented code, and collaborating with product, QA, and DevOps teams to deliver high-quality solutions. The developer troubleshoots and optimizes application performance, participates in code reviews following best practices, and provides production support by resolving issues and implementing necessary fixes.

Key Responsibilities:

• Design, develop, and maintain Python-based applications and services.
• Build and consume RESTful APIs.
• Write clean, efficient, and well-documented code.
• Collaborate with product, QA, and DevOps teams to deliver high-quality solutions.
• Debug, troubleshoot, and optimize application performance.
• Participate in code reviews and follow best practices.
• Support production issues and implement fixes as needed.

Qualifications and Skills:

• Bachelor’s degree in Computer Science or a related field.
• 3–4 years of experience in Python development.
• Strong proficiency in Python frameworks (Django, Flask, FastAPI).
• Experience with REST APIs and microservices architecture.
• Solid understanding of databases (SQL, PostgreSQL, MySQL is a plus).
• Familiarity with Git and version control practices.
• Experience working in MS and Linux environments.

Preferred Experience:

• Exposure to cloud platforms (AWS, Azure, GCP).
• Basic knowledge of Docker and CI/CD pipelines.
• Experience with message queues (Kafka, RabbitMQ).
• Domain experience in healthcare or enterprise applications

Location: Kochi (Work from office only)
Reports To: Product Manager
Job Type: Full-time (10 a.m. – 7:00 p.m. IST)

Job Summary:

The ML Engineer is responsible for designing, developing, and deploying AI/ML models to support healthcare data processing and automation. This role focuses on building NLP-based solutions for clinical text analysis, coding validation, and documentation quality improvement, while enhancing medical coding accuracy, compliance, and productivity. The engineer integrates AI models with EMR/EHR systems and internal applications, collaborates with QA, coding, and compliance teams to translate business requirements into AI logic, and implements model monitoring, retraining, and performance evaluation processes.

Key Responsibilities:

• Design, develop, and deploy AI/ML models for healthcare data processing and automation.
• Build NLP-based solutions for clinical text analysis, coding validation, and documentation quality checks.
• Develop AI models to assist with medical coding accuracy, compliance, and productivity.
• Integrate AI models with EMR/EHR systems and internal healthcare applications.
• Collaborate with QA, coding, and compliance teams to translate business rules into AI logic.
• Implement model monitoring, retraining, and performance evaluation processes.
• Ensure solutions comply with HIPAA and healthcare data security standards.
• Support continuous improvement by refining models based on real-world feedback.

Qualifications & Skills:

• Bachelor’s or Master’s degree in Computer Science, AI, Data Science, or a related field.
• 3–6 years of experience in AI/ML development.
• Strong hands-on experience with Python and ML frameworks
• Experience with NLP techniques (transformers, LLMs, text classification, entity extraction, prompting).
• Solid understanding of data preprocessing, feature engineering, and model evaluation.
• Experience deploying models in cloud environments (Azure or AWS).
• Familiarity with MLOps tools (CI/CD, model versioning, monitoring).

Preferred Experience:

• Experience in healthcare coding (ICD-10, CPT, HCPCS).
• Exposure to OASIS, PDGM, home health, or clinical documentation workflows.
• Experience working with EMR/EHR systems.
• Understanding of healthcare compliance and audit processes (ADR, QA, medical necessity).
• Experience with rule engines + AI hybrid solutions.
• Nice to Have
• Experience with LLMs (OpenAI, open-source models, prompt engineering).
• Knowledge of FHIR/HL7 healthcare standards.
• Experience in building AI-powered dashboards or decision-support tools.
• Prior experience in healthcare product development.

Location: Kochi (Work from office only)
Reports To: Product Manager
Job Type: Full-time (10 a.m. – 7:00 p.m. IST)

Job Summary:

The .NET Developer is responsible for designing, developing, and maintaining scalable web applications using .NET technologies such as C#, ASP.NET, MVC, and .NET Core. This role involves writing clean and efficient code, managing and optimizing SQL Server databases, and ensuring high code quality through reviews, testing, and best practices. The developer collaborates with cross-functional teams including QA, DevOps, and UI/UX, participates in Agile/Scrum processes, and takes ownership of modules from design through production deployment. Additionally, the position includes maintaining technical documentation, providing post-deployment support, and troubleshooting Azure-related environment issues to ensure application reliability and performance.

Key Responsibilities:

Software Development:

• Design, develop, and maintain web applications using .NET technologies (C#, ASP.NET, MVC, .NET Core, etc.).
• Write clean, scalable, and efficient code following best practices.
• Collaborate with the team to develop new features, troubleshoot issues, and optimize performance.

Database Management:

• Work with SQL Server or other databases to design, create, and optimize database structures.
• Write and optimize complex queries, stored procedures, and triggers.
• Code Review and Quality Assurance:
• Conduct peer code reviews to ensure adherence to development standards.
• Test software components to identify bugs and improve performance.
• Implement unit tests, integration tests, and automate testing where applicable.
• Collaboration and Communication:
• Collaborate with cross-functional teams (QA, DevOps, UI/UX) to ensure successful project deliveries.
• Communicate effectively with stakeholders and project managers to provide regular status updates.

Project and Process Management:

• Participate in Agile/Scrum development processes, including sprint planning, daily stand-ups, and retrospectives.
• Ensure project timelines are met and escalate issues where necessary.
• Take ownership of assigned modules/components from design to production deployment.

Documentation and Technical Support:

• Create and maintain documentation for code, design, and architecture.
• Provide post-deployment technical support and resolve production issues.
• Troubleshoot Azure-related environment issues causing production outages.

Qualifications & Skills:

• Bachelor’s degree in Computer Science, Information Technology, or a related field
  (or equivalent practical experience)
• 3+ years of hands-on experience in software development
• Proven experience in developing and maintaining .NET-based web applications
• Experience working in Agile development environments
• Strong proficiency in C#, ASP.NET, MVC, and .NET Core
• Experience with SQL Server, database design, and performance optimization
• Knowledge of RESTful APIs and web services
• Experience with Git or other version control systems
• Understanding of Agile/Scrum methodologies
• Good problem-solving and debugging skills
• Strong communication and teamwork abilities

Location: Kochi (Work from office only)
Reports To: Product Manager
Job Type: Full-time (10 a.m. – 7:00 p.m. IST)

Job Summary:

The PHP Developer is responsible for developing, maintaining, and enhancing web applications using Laravel while creating responsive and user-friendly interfaces with modern frontend technologies. This role includes converting Figma designs into pixel-perfect HTML/CSS layouts, working with MySQL databases, integrating RESTful APIs, and ensuring clean, secure, and maintainable code following best practices. The developer utilizes Git for version control, supports application deployment (preferably on Azure), and troubleshoots issues to optimize application performance and reliability.

Key Responsibilities:

• Develop, maintain, and enhance web applications using Laravel; 

• Strong expertise in Laravel is required. 

• Build responsive UI components using HTML, CSS, JavaScript, and jQuery. 

• Convert Figma designs into pixel-perfect, responsive HTML/CSS layouts. 

• Convert Figma designs into reusable React components, ensuring design consistency and performance. 

• Design and manage MySQL databases, including schema design and query optimization. 

• Solid knowledge of MySQL is required. 

• Integrate backend services with frontend frameworks; knowledge of React is an added advantage. 

• Work with RESTful APIs and third-party integrations. 

• Deploy and maintain applications on Azure (preferred). 

• Experience Git and follow version control workflows. 

• Write clean, maintainable code following Laravel best practices. 

• Implement unit testing is preferable. 

• Troubleshoot bugs, optimize application performance, and enhance application security 

Qualifications & Skills:

• Bachelor’s degree in Computer Science, IT, or a related field (preferred).
• 3–4 years of experience as a PHP Developer.
• Strong proficiency in PHP and Laravel framework.
• Solid knowledge of MySQL database design, queries, and optimization.
• Experience with HTML, CSS, JavaScript, and jQuery for building responsive UI.
• Ability to convert Figma designs into pixel-perfect, responsive layouts.
• Understanding of RESTful APIs and third-party integrations.
• Familiarity with React is an added advantage.

Location: Kochi (Work from office only)
Reports To: Team Lead – Non-Clinical
Job Type: Full-time (6:30 p.m. – 3:30 a.m. IST)

Job Summary:

The Pre-Authorizations Specialist is responsible for managing referral intake and securing timely insurance authorizations for home health and hospice services. This role ensures accurate patient chart creation, verifies eligibility, and confirms patient qualification for services. The specialist coordinates with case managers, physicians, and patients to obtain required documentation, discharge information, and records necessary for authorization. Additionally, the position maintains detailed referral records, conducts welcome calls to validate patient information, and ensures all documentation is properly recorded to support smooth processes.

Key Responsibilities:

Referral Management:

• Monitor and maintain the Excel file containing referral information for home health and hospice patients.

Patient Chart Creation:

• Create and update patient charts in MatrixCare promptly and accurately.

Case Manager Follow-Up:

• Contact case managers to obtain discharge dates missing from referrals or orders.

Eligibility Verification:

• Check patient eligibility for home health and hospice services via insurance portals.
• Ensure that insurance coverage is in-network with the service provider and verify that the patient’s address is in Connecticut. If the address is not in Connecticut, consult with the patient regarding the possibility of changing it with their insurance provider and inform them of the 24-48 hour processing time.

Insurance Communication:

• Communicate any out-of-pocket costs to patients if their insurance meets eligibility criteria.
• Print and attach insurance eligibility and benefits documentation in the patient’s chart in the MatrixCare.

Physician Coordination:

• Call the primary care physician listed in the referral/order.
• If the physician declines to sign home health orders, inquire whether the patient has another physician who can authorize the orders.
• For cancer patients, confirm if the oncologist is willing to sign all necessary documents for the entire episode of care.

Welcome Call Duties:

• Confirm the patient’s address and phone number for scheduling the SOC (Start of Care) visit.
• Verify if the patient can sign documents independently.
• Assess the patient’s homebound status; if the patient is not homebound and has commercial or Medicare insurance, inform them that intake can only proceed if they have Medicaid coverage.
• For patients who can drive and perform daily activities, confirm that they do not meet homebound criteria and advise them to contact the private duty nursing department.
• If the patient cannot be accepted, notify the sales representative and the referral source.
• Document all information in MatrixCare after the welcome call.

Qualifications & Skills:

• Minimum of 1–3 years of experience in U.S. healthcare administration, intake, and authorizations (U.S. healthcare experience is mandatory)
• Experience in home health and/or hospice settings strongly preferred
• Prior experience working with insurance eligibility verification and authorizations within the U.S. healthcare system
• Familiarity with electronic medical records (EMR) systems used in U.S. healthcare settings
• Excellent verbal and written communication skills

Location: Kochi (Work from office only)
Reports To: Team Lead - RCM
Job Type: Full-time (6:30 p.m. – 3:30 a.m. IST)

Job Summary:

The AR & Denial Analyst is responsible for managing accounts receivable and analyzing denied claims to identify root causes, trends, and opportunities to improve overall revenue cycle performance. This role ensures timely follow-up on receivables and denied claims, and submits appeals and resubmissions in accordance with payer guidelines.

Key Responsibilities:

• Review and analyze denied claims to identify root causes and trends in claim rejections.   

• Collaborate with internal teams to develop and implement effective denial resolution strategies.   

• Ensure claims are reworked, appealed, and resubmitted by payer guidelines.   

• Perform root cause analysis to reduce future denials and educate the team on best practices.   

• Maintain knowledge of CPT, HCPCS, ICD-10 codes, payer policies, and medical terminology.   

• Track and report on denial rates, trends, and resolution status to support continuous improvement.   

• Maintain compliance with healthcare regulations, including HIPAA and payer-specific rules. 

Qualifications & Skills:

• 1–2 years of experience in Accounts Receivable (AR) within the US healthcare domain
• Strong communication, analytical, and problem-solving skills
• Hands-on experience with AR follow-up tools and medical billing software

CLINIQON IS HIRING FOR RCM TEAM LEAD!

The Team Lead – Home Health & Hospice Billing is responsible for overseeing the day-to-day billing operations, ensuring accurate and timely submission of claims, and guiding the billing team to meet productivity, quality, and compliance targets. This role requires strong knowledge of Home Health & Hospice billing regulations, NOA/NOE processes, payer-specific guidelines, and end-to-end RCM workflows. The Team Lead serves as the first level of escalation, ensures process adherence, and collaborates with QA, AR, Coding, and Clinical teams to resolve billing issues.

KEY RESPONSIBILITIES

• Assign daily tasks and monitor workload.
• Conduct team huddles and performance reviews.
• Oversee NOA/NOE, Final, and Hospice billing.
• Review claims for accuracy and completeness.
• Ensure proper use of EMR systems and clearinghouses.
• Ensure all billing follows payer and Medicare/Medicaid guidelines.
• Maintain SOPs and perform regular quality checks.
• Identify and address process issues.
• Handle escalations for claim errors and rejections.
• Coordinate with AR, Coding, Intake, and Clinical teams.
• Track submissions, rejections, timely filing and unbilled claims and report them immediately.
• Prepare and share performance reports.

REQUIRED SKILLS & QUALIFICATIONS

• Minimum 1–2 years of Home Health & Hospice billing experience (mandatory).
• Deep knowledge of:
• CMS regulations
• NOA/NOE processes
• Timely filing guidelines
• Proficiency in EMR platforms (e.g., Axxess, WellSky, Kinnser) and clearinghouses.
• Strong communication, team management, and problem-solving skills.
• Ability to analyze trends and generate operational insights.
• High attention to detail and process-oriented mindset.
• Ability to manage a high performing team of 15+ agents who work remotely in different time zones and geography.

Interested applicants may send their resume to:phcareers@cliniqon.com or jjavinal@cliniqon.com

Join our dynamic team and be part of something extraordinary.

CLINIQON IS LOOKING FOR HOME HEALTH CASE MANAGEMENT NURSES!

Key Responsibilities:

• Conduct timely and thorough SOC and ROC assessments in compliance with Medicare/Medicaid agency guidelines.
• Complete OASIS documentation accurately and withing required timeframes.
• Develop individualized patient care plans based on assessment findings, in collaboration with physicians and interdisciplinary team members.
• Coordinate and oversee the implementation of care plans, ensuring appropriate services are initiated.
• Communicate regularly with Physicians, and other healthcare professionals.
• Evaluate patient progress, revise care plans as necessary, and ensure continuity of care.
• Maintain detailed and timely clinical documentation in the EMR system.

Qualifications:

• Current active RN license.
• Minimum of 1-2 years experience as CM in Home Health.
• Strong understanding of OASIS documentation and CMS Regulations.
• Proven experience in conducting SOC and ROC assessments.
• Ability to work independently and manage time effectively.
• Strong communications and interpersonal skills.

Are you a clinical documentation Rockstar with a passion for excellence in hospice care? Do you thrive on leading teams, ensuring compliance, and making a meaningful difference every day?

This is your opportunity to lead with purpose.

We believe that hospice care is sacred, and accurate, compassionate clinical documentation is at the heart of that mission. We’re looking for an inspiring, driven, and detail-savvy Team Lead to oversee our Clinical Documentation Audit efforts and guide a talented team toward excellence and integrity.

What You’ll Do:

• Lead and supervise the clinical documentation team, providing guidance, support, and performance feedback
• Coordinate team activities to ensure efficient workflow and timely completion of documentation tasks
• Foster a collaborative and positive work environment, encouraging professional development and continuous learning
• Review clinical documentation for accuracy, completeness, and compliance with regulatory standards and organizational policies
• Identify and address documentation deficiencies, providing feedback and education to clinical staff
• Ensure timely and accurate entry of patient data into electronic medical records (EMR) systems
• Stay current with hospice care regulations, standards, and best practices related to clinical documentation
• Conduct regular audits of clinical records to ensure compliance with regulatory requirements and internal policies
• Develop and implement quality improvement initiatives to enhance documentation practices and patient care
• Provide training and education to clinical staff on documentation requirements, EMR systems, and best practices
• Serve as a liaison between clinical staff and administration, facilitating communication and resolving documentation-related issues
• Participate in meetings and committees related to clinical documentation, quality improvement, and regulatory compliance

Who You Are:

• Must hold an active Registered Nurse (RN) license
• At least 3 years of hospice experience, with proven skill in keeping accurate clinical records
• Background in auditing or quality assurance is strongly preferred
• Leadership or supervisory experience is required
• Comprehensive knowledge of CMS hospice regulations and documentation standards
• Strong skills in analysis, organization, and clear communication
• Proficient in EMR systems
• Immediate start is preferred

Why Join Us?

Because here, your work matters. Every audit, every insight, every leadership moment helps ensure our patients receive the care , and recognition they deserve. Plus:

• 100% Permanent Work-from-Home
• Fixed Weekends Off – Enjoy your time!
• Annual Merit Increase & Retention Bonus
• Day 1 HMO Coverage for you + 1 dependent
• Company-Provided Equipment
• Competitive Compensation Package
• And many more employee-first benefits designed for your well-being!

Ready to Lead with Heart and Precision?

Apply now and be part of something deeply meaningful.

Monday-Friday, 12 AM PHT - 9 AM PHT 

Intake Coordinator for home health services for managing the process of admitting new patients into a home health care. The role requires excellent organizational and communication skills, attention to detail, and a strong understanding of healthcare procedures and regulations.

• Review and evaluate patient referrals to determine eligibility for home health services.
• Schedule initial assessments and coordinate with healthcare professionals to plan patient care.
• Collect and verify patient information, insurance details, and medical records, ensuring all documentation is complete and accurate.
• Ensure that all intake procedures comply with regulatory requirements and organizational policies.
• Address any issues that arise during the intake process, such as insurance approvals or scheduling conflicts.

Qualifications:

• Registered Nurse (RN)
• Experience with MatrixCare
• In-depth knowledge of:
  • Private and government-funded insurance plans
  • Home health and hospice eligibility
  • Benefits verification (coinsurance, copay, deductible)
• Ability to read and interpret patient charts (H&P/HPI, diagnosis, medications)

System and Portal Experience:

• Referral Portals: Epic Yale, Epic Hartford, Epic UConn, Epic Middlesex, Navi, CarePort, Axxess, Kinnser, Home Health EMRs
• Other Systems: PCC, BambooHealth
• Insurance Portals: NGSConnex, CT DSS, Availity, UHC

Key Responsibilities:

• Assess home health and hospice referrals according to agency guidelines
• Determine palliative or hospice appropriateness
• Verify insurance coverage and benefits
• Obtain necessary clinical information prior to admission
• Create patient charts in the EMR and attach relevant clinical documentation
• Monitor patient discharge status and verify discharge paperwork
• Provide updates to the agency’s hospitalization and scheduling departments on patient status
• Handle inbound and outbound calls with patients, families, and healthcare providers
• Respond to emails and manage referrals received through portals

Communication and Collaboration:

• Build and maintain strong relationships with onshore agency staff, clinicians, and facility staff
• Effectively communicate with multidisciplinary teams to ensure smooth patient transitions

Skills:

• Strong verbal and written communication skills
• Ability to manage multiple tasks and prioritize effectively
• Attention to detail and problem-solving abilities

Position: Home Health Medical Coders
Location: Philippines- Remote
Shift: Morning shift

Qualifications:

• Minimum of 2 years experience in Home Health coding
• Experience with Plan of Care (POC) and OASIS Review
• Certified Professional Coder (CPC) certification required
• HCS-O or HCS-D certification is a plus
• Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems
• Excellent communication and collaboration skills
• Ability to work independently and within a team
• Must be available to start ASAP

Job Descriptions:

• Analyze patients’ charts carefully
• Utilize specialized medical classification software to assign diagnosis codes
• Assign codes to diagnoses using ICD-10-CM codes following the PDGM guidelines by CMS
• Enter coding information in an online program
• Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
• Follow up with the provider on any documentation that is insufficient or unclear
• Communicate with other clinical staff regarding documentation
• Search for information in cases where the coding is complex or unusual
• Be updated about new coding rules as codes change from time to time
• Manage detailed, specifically coded information
• Maintain patient confidentiality and information security
• Ensure that all codes are current and active

Location: Philippines- Work From Home
Reports To: Business Development Manager & CEO
Job Type: Full-time- Night Shift

Qualifications:
• Must have B2B experience
• Proficient in making sales calls
• Fluency in communication skills, both oral and written
• Ability to build and maintain relationships with clients
• Strong negotiation and persuasion skills
• Knowledge of market trends and industry insights
• Proven track record of successful business development
• Business development expertise
 

Job Descriptions:
• Build Connections: Develop and nurture professional relationships with key stakeholders.
• Innovate and Strategize: Collaborate on business strategies to expand our reach and strengthen our position.
• Communicate with Confidence: Use your excellent verbal skills to effectively present ideas, products, and solutions.
• Be a Trailblazer: Represent our organization at events, meetings, and networking opportunities.

Qualifications:
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar medical coding certification like HCS-D or HCS-O is required
• Expertise in ICD-10, OASIS, and CMS guidelines
• Minimum of 3-5 years of experience in medical coding, with at least 1-2 years in a leadership or supervisory role
• Proficiency in using medical coding software, EHR systems, and Microsoft Office Suite (Excel, Word, PowerPoint)
• Fluent in English, both written and spoken.
• Strong understanding of HIPAA compliance and confidentiality standards.
• Ability to work under pressure and handle sensitive situations with professionalism.
• Flexibility in working hours, including availability for overtime or weekend work as needed
Job Descriptions:
• Team Management & Leadership
• Quality Control & Reporting
• Client & Internal Communication
• Performance Monitoring & Issue Resolution
• Daily: Check team attendance, monitor work allocation, update trackers, and handle CREs and priority tasks.
• Weekly: Conduct team huddles, plot coaching sessions, monitor KPIs, attend relevant meetings, and report on team performance.
• Monthly: Submit MTD (Month-to-Date) performance reports, review and track team KPIs, and ensure all coding activities are logged and documented.