Professional Coding Specialist II – Inpatient PB, Hospitalists, Med Specialties

🔥 0 minutes ago

⚔️ Virginia, West Virginia – Remote

⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

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WVU Medicine

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.

📋 Description

• Ensure accurate and appropriate information gathering into coding classification systems for departmental, hospital, and outside agency requirements • Ensure appropriate reimbursement, compliance, and charging according to coding guidelines and regulatory requirements • Obtain complete medical-record documentation for accurate coding, severity of illness, and risk of mortality assignments • Interact with physician and non-physician providers to support correct coding initiatives • Analyze and resolve missing charges and problem accounts by researching reimbursement information • Review and interpret medical-record documentation to identify diagnoses and procedures and assign ICD-10, CPT, and modifier codes • Complete quality and timely coding, charging, and account abstraction for assigned specialty areas • Maintain and enhance coding knowledge through reviews, in-services, seminars, meetings, reference materials, and coding manual updates • Review data accurately and timely to obtain clean bills • Contact physicians and others to obtain information needed for accurate coding • Monitor provider documentation, audit coding accuracy, and provide provider education as needed • Assist Revenue Cycle Operations with claim development and problem patient accounts

🎯 Requirements

• High School Diploma or Equivalent • Current HIM/Coding Certification through AHIMA or AAPC • Two (2) years of medical coding experience • Two (2) years of physician office coding experience preferred • Knowledge of anatomy, physiology, and medical terminology • Knowledge of ICD-10, CPT, and modifier coding • Ability to concentrate and maintain accuracy during constant interruptions • Independent decision-making ability • Ability to prioritize job duties • Ability to handle high-stress situations and adapt to workplace changes • Ability to organize and complete assigned tasks • Excellent written and verbal communication skills • Ability to meet quality and productivity standards • Ability to sit for long periods, use computer and office equipment, and lift, push, or pull 10–20 pounds • Visual and hearing acuity within the normal range • May require travel