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Professional Coding Specialist II - Inpatient PB

SYSTEM West Virginia University Health System

Responsible for ensuring accurate and appropriate gathering of information into coding classification systems to meet departmental, hospital, and outside agency requirements. The role supports accurate reimbursement, compliance, and charging in alignment with coding guidelines and regulatory agencies. It also ensures accurate and complete documentation in the medical record for proper coding assignment, severity of illness, and risk of mortality. This position plays an integral role in the organization’s compliance program related to physician coding and billing and works with physician and non-physician providers to support correct coding initiatives. The role also analyzes and resolves missing charges and problem accounts to support department reimbursement.

The position reviews medical record documentation to identify diagnoses and procedures, assigns appropriate ICD-10, CPT, and modifier codes, maintains timely and accurate coding and abstraction, supports provider documentation improvement, and assists Revenue Cycle Operations with claim development and problem account resolution.

Requirements & Qualifications

Qualifications

  • High school diploma or equivalent
  • Current HIM/Coding certification through AHIMA or AAPC
  • 2 years of medical coding experience
  • Preferred: 2 years of physician office coding experience

Skills and abilities

  • 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
  • Strong organization, communication, and task completion skills
  • Ability to meet quality and productivity standards
  • Ability to sit for long periods and use computer and office equipment

Location

N/A

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

Yes

Posted

2 weeks ago

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