Compliance Coder

At PHS, we help medically complex kids live their best lives—at home, with their families. As a national leader in pediatric home care, we offer a full range of services including infusion, clinical nutrition, respiratory therapy, PPEC, private duty nursing, and DME.

Whether you're caring for patients or supporting behind the scenes, every role at PHS makes a difference. Join a mission-driven team that’s committed to putting children and families first.

• Position: Compliance Coder
• Location: Remote
• Must reside in one of these states: FL, IL, IN, KS, KY, MA, MI, MN, MO, OH, TX, WI
• Hours: Monday-Friday,(8a-5p)
• fully remote
  

Position Summary

Pediatric Home Service (PHS), a nationally recognized leader in home health care for medically complex patients, is seeking a detail-oriented and knowledgeable Compliance Coder to join our Compliance team. This position plays a critical role in ensuring our billing, coding, and documentation practices align with payer regulations, safeguard reimbursement integrity, and uphold ethical standards.

Key Responsibilities

• Review medical documentation and billing data for accuracy, completeness, and compliance with current coding and payer guidelines.
• Assign and abstract ICD-10-CM, CPT-4, and HCPCS codes for medical equipment, supplies, and services.
• Conduct internal audits in accordance with the Compliance Work Plan to detect and correct coding discrepancies.
• Assist in developing internal policies and procedures aligned with payer requirements.
• Monitor payer rule updates and ensure accurate implementation in daily coding practices.
• Prepare written reports and communicate audit findings and recommendations to appropriate stakeholders.
• Deliver staff education on coding practices, documentation requirements, and audit findings.
• Collaborate with billing and clinical teams to ensure coding aligns with medical necessity and documentation standards.
  
  

Qualifications

Education & Experience:

Required

• Bachelor’s degree in a related field or 1–2 years of relevant experience in coding, auditing, or compliance.
• Strong understanding of healthcare reimbursement methodologies and payer requirements.
• Proficiency in Microsoft Office Suite, particularly Excel and Outlook.
• Strong attention to detail, organizational skills, and ability to meet deadlines.
• Certified Coding Associate (CCA) or equivalent certification required within 6 months of hire
  
  

Preferred

• Experience with Medicare/Medicaid documentation and compliance standards.
• Prior exposure to Durable Medical Equipment (DME) billing.
• Advanced credentials (e.g., CPC, CCS, RHIT/RHIA).
• Familiarity with compliance audits, root cause analysis, and corrective action planning
  
  

The Company

Pediatric Home Service is a pediatric home health agency that has provided high-quality DME and nursing services to medically fragile children since 1990. Our services allow our clients to remain and thrive in their homes, schools, and communities. The majority of the clients we serve are age’s birth through 21 years old and have a variety of technologies that might include a trach, ventilator or g-tube.

Salary Range

At PHS, we are committed to providing specialized care for medically complex children. Every role, from direct patient care to customer support, plays a vital part in improving the lives of kids and families. The impact you make is invaluable. We are dedicated to offering fair and transparent compensation to our team members. The role is starting at $32.00/hour.

Benefits

• Generous Paid Time Off (PTO) for full time employees to ensure a healthy work-life balance
• 401(k) Matching to help secure your future
• Tuition Reimbursement to support your educational and professional growth
• Professional Development & Learning Opportunities to expand your skills and knowledge in pediatric care
• A supportive and fulfilling work environment where your contributions directly impact children’s health and well-being
  
  

Interested candidates should apply online at http://www.phscareers.com.

We look forward to learning more about you and the skills you can bring to Pediatric Home Service!

Pediatric Home Service is an equal opportunity employer; we are committed to affirmative action and equal employment opportunities for all regardless of protected veteran status, race, color, creed, religion, national origin, sex, sexual orientation or identity, disability, age, marital status, familial status, membership or activity in a local human rights commission, or status with regard to public assistance.