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HB-PB Coding Specialist II - ED Facility/Profee

WVU Medicine

Responsible for accurate and appropriate coding classification to meet departmental, hospital, clinic, and outside agency requirements.

Ensures proper reimbursement, compliance, and charging in accordance with coding guidelines and regulatory requirements.

Obtains accurate and complete medical record documentation to support correct coding assignment, severity of illness, and risk of mortality.

Serves as part of the compliance program supporting hospital and physician coding and billing functions.

Works with physician and non-physician providers to support correct coding initiatives and hospital coding practices.

Analyzes and resolves missing charges and problem accounts by researching reimbursement-related information.

Codes complex patient classes including inpatient, observation, and same-day care.

Performs split claim processes for Critical Access hospitals.

Maintains quality, timeliness, and accuracy of coding, charging, and abstraction for assigned specialty areas.

Supports revenue cycle operations in claim development functions to resolve problem patient accounts.

Requirements & Qualifications

High school diploma or equivalent.

Current HIM or coding certification through one of the following:

  • AHIMA
  • AAPC

Two years of medical coding experience.

Preferred: Two years of physician office coding experience.

Knowledge of anatomy, physiology, and medical terminology.

Ability to concentrate and maintain accuracy during constant interruptions.

Strong independent decision-making and prioritization skills.

Ability to handle high-stress situations and adapt to workplace changes.

Excellent written and verbal communication skills.

Ability to meet quality and productivity standards.

Location

Lubbock, Texas, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

1 month ago

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