Professional Coding Specialist Lead – Multispecialties

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⚔️ Virginia, West Virginia – Remote

⚔️ Virginia – Remote ⛰️ West Virginia – Remote

⏰ Full Time

🟠 Senior

🏥 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

• Monitor, maintain, and coordinate work assignments • Process daily reports • Perform training and in-service education and serve as a coding expert • Perform charging and coding audits • Work with revenue cycle teams to ensure accurate, timely coding and optimum reimbursement • Assist management with day-to-day departmental operations involving reimbursement, coding, abstracting, productivity, quality, and education • Help develop coding policies, procedures, query materials, work queues, and training materials • Review and interpret medical record documentation and assign appropriate ICD-10, CPT, and modifier codes • Ensure quality and timely coding, charging, and abstraction for assigned specialty areas • Maintain and enhance coding knowledge through reviews, in-services, seminars, meetings, reference materials, and coding manual updates • Ensure accurate and timely data review to obtain clean bills • Contact physicians and other necessary parties to obtain information for accurate coding • Monitor provider documentation, audit provider coding accuracy, and provide follow-up education • Assist Revenue Cycle Operations with claim development to resolve problem patient accounts • Interact with physician and non-physician providers to maximize correct coding initiatives • Analyze and resolve missing-charge and problem-account issues by researching reimbursement information

🎯 Requirements

• High School Diploma or Equivalent • Current HIM/Coding Certification through AHIMA or AAPC • Four (4) years of medical coding experience • Knowledge of provider healthcare compliance, revenue cycle operations, and auditing techniques • Ability to mentor, educate, and train others • Ability to meet quality and productivity standards • Ability to concentrate and maintain accuracy during constant interruptions • Ability to prioritize duties and adapt to workplace and assignment changes • Organizational and time management skills • Knowledge of anatomy, physiology, and medical terminology • Analytical and problem-solving skills • Proficiency in office software programs, including medical record and billing systems • Ability to sit for long periods and operate computer and office equipment • Ability to lift, push, or pull 10–20 pounds • May require travel • Associate degree in Health Information Management preferred

🏖️ Benefits

• Full-time schedule, 40 scheduled weekly hours • Day shift • Standard office environment • Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions