37 jobs found in West Virginia

Medical Records Technician (Coder - Inpatient/Outpatient) The Medical Records Technician (Coder - Inpatient/Outpatient) assigns alpha-numeric codes for each diagnosis and procedure. To perform this task, they must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). MRT (Coder) may also provide education related to coding and documentation. Major duties include, but are not limited to: Selects and assigns codes from current versions of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS classification systems to both inpatient and outpatient records. Inpatient duties consist of the performance of a comprehensive review of documentation within the health record to assign ICD-10-CM and ICD-10-PCS codes for diagnosis, complications/major complications, comorbid/major comorbid conditions, surgery, and procedures for accurate assignment of DRGs. Outpatient duties consist of the...

Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education...

The West Virginia Department of Tourism is seeking an Audit Clerk to support the Finance team as the agency’s primary auditor. The role involves reviewing contracts, encumbrances, and payment requests to ensure compliance with state and federal regulations. You will assist with broader accounting tasks as needed and report directly to the Chief Financial Officer. Ideal candidates have accounting/auditing experience, with WV state exposure preferred, and an associate degree or higher. #J-18808-Ljbffr

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Become a part of our caring community The Medical Coder extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters, and manipulates databases. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure correct...

Charleston Area Medical Center is seeking a Coding Specialist III at Davis Medical Center in West Virginia. The role focuses on assigning diagnostic, procedure, and charge codes to patient accounts in a timely manner, while ensuring accuracy and compliance with coding guidelines. The position requires at least one year of coding experience or a relevant medical billing/coding program, with CPT and ICD-10 knowledge preferred. #J-18808-Ljbffr

Coding Specialist III -- CODING & DATA REGISTRY -- Davis Medical Center(Job Id 77843) Location WV:Elkins:Davis Medical Center Post Date 8/7/2026 Category Professional Employment Type Employee Close Date Description Job Summary With a patient centered culture, the Coding Specialist will provide a positive experience to our customers and patients through assigning diagnostic codes, procedure codes and charge codes to patient accounts in an efficient and timely manner. The coder/abstractor monitors and tracks accounts that need additional documentation to ensure accurate coding of accounts according to official coding guidelines. Responsibilities New Skills and Self- Development Learns new skills quickly on his/her own and applies them quickly and effectively. Makes it a practice to take charge of self-development by soliciting feedback, setting priorities and then acquitting or strengthening skills and knowledge through coursework or other methods. Productivity...

Coder II The Coder II must accurately code and abstract diagnoses and procedures occurring during the patient's episode of care, in a timely manner, in order for the facility to receive proper reimbursement. Experience required as follows: Coding in hospital, clinic or physician office. Basic computer knowledge required with evidence of Windows training and/or experience with demonstrated competency. Maintenance of certification through continuing education is required. Must be skilled in the application of coding guidelines set up by various third party payors. Required Certifications/Registrations RHIT or RHIA credential from the American Health Information Management Association Physical Demands: Prolonged sitting. Some standing, lifting (50 lb.), carrying, stooping, reaching. Periods of prolonged work at a computer terminal. Prolonged periods of reading, deciphering handwriting.

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

**MINIMUM QUALIFICATIONS:** **EXPERIENCE:** 1. Four (4) years’ experience as a Medical Technologist, Medical Laboratory Technician, Histotechnologist or Cytotechnologist. PREFERRED QUALIFICATIONS**EDUCATION, CERTIFICATION, AND/OR LICENSURE:** **CORE DUTIES AND RESPONSIBILITIES:** The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.**PHYSICAL REQUIREMENTS:** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. #J-18808-Ljbffr

Healthcare Management Solutions, LLC is seeking a Senior Healthcare Compliance Reviewer to support federal oversight activities ensuring marketplace insurers comply with regulatory standards. The role analyzes policies, procedures, and supporting documentation and documents review results. The senior position requires strong analytical skills, attention to detail, professional communication, and the ability to manage competing priorities while handling sensitive information in a confidential #J-18808-Ljbffr

SYSTEM West Virginia University Health System is seeking a hospital coder to accurately interpret medical records and assign ICD-10/CPT codes for outpatient encounters. The role requires a current HIM or coding certification and strong attention to detail in a hospital setting. Responsibilities include assigning codes across ED, OBS, and other classes, ensuring timely coding and billing readiness, and maintaining up-to-date coding knowledge through participation in trainings and internal #J-18808-Ljbffr

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : Complete in as short as a few weeks to a few months Online and in-person options available Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available to...

Phlebotomy Supervisor Mon Medical Center Main Campus, Morgantown, WV Description Job Summary Under general direction, is responsible for collecting appropriate blood specimens from inpatients, outpatients, and off‑campus patients in a timely manner. In addition, supports the laboratory staff by receiving and directing all telephone and mail communications to appropriate departments or personnel, receiving and distributing specimens in accordance with MGH and Laboratory policies and procedures as well as CAP and federal/state regulations, maintaining established processes for record retention and retrieval and distribution of test results, and registering patients following established policies. Responsibilities Operations of assigned units. Provides pre and post analytical expertise for the department through supervision; investigates problems or concerns and takes corrective action when necessary; monitors department PPID usage; ensures that devices are in working order; acts...

Clinic Coder St. Mary's Medical Center is seeking a full time Clinic Coder for our Central Business Office. Under the supervision of the Director of Health Information Management or authorized designee, is responsible for reviewing clinical documentation and diagnostic reports to extract data and apply appropriate ICD, CPT codes, modifiers, discharge dispositions, and other coding schemes to medical records for billing, internal and external reporting, research and regulatory compliance activities. Education Requirements: High school diploma or equivalent required. Associate's degree in Medical Coding preferred but not required. Experience: Background in medical billing, terminology, and anatomy is strongly recommended. Certifications/Skills: CPC-A, COC-A, CPC or COC required. Additional specialty certifications will be used to show proficiency and count as experience in the certified specialty.

Job Responsibilities: Abstracts information from a variety of medical records and assigns appropriate codes based on medical documentation using the current guidelines for CPT codes and/or ICD standards. Addresses billing/coding related questions for providers as needed. Performs internal audits and provides feedback to health care providers within their department as directed. Performs any follow-up audits from either initial internal or external audits. Assists as needed to complete the professional fee reimbursement process. Attends various meetings and professional development programs to maintain certification. Serves on various committees and performs other duties as assigned. Performs other duties as assigned or requested. Education: High school diploma or GED. Certified Professional Coder certification is required. Experience: One year of billing experience in a health care organization preferred. Knowledge of medical terminology, CPT-4 and...

Coder Analyst II – Cabell Huntington Hospital The Coder II must accurately code and abstract diagnoses and procedures occurring during the patient’s episode of care, in a timely manner, in order for the facility to receive proper reimbursement. Seniority level Entry level Employment type Full-time Job function Engineering and Information Technology Industries Hospitals and Health Care Location Huntington, WV #J-18808-Ljbffr

Coder Analyst II St. Mary's Medical Center - Huntington, WV The Coder II must accurately code and abstract diagnoses and procedures occurring during the patient’s episode of care, in a timely manner, in order for the facility to receive proper reimbursement. Seniority level: Entry level Employment type: Full-time Job function: Business Development and Sales Industries: Hospitals and Health Care #J-18808-Ljbffr

Boone Memorial Hospital in Madison, WV is looking for a detail-oriented Coder (HIM Coder) to join the Health Information Management team. This role involves accurately coding medical records, ensuring compliance, and aiding in timely reimbursement for outpatient services. The ideal candidate will have certifications including CCS and CPC, along with robust coding experience. Strong communication skills and the ability to collaborate with various departments are key for success in this position. #J-18808-Ljbffr

Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and motivated individuals looking to enter the field. If you're detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims as needed Communicate with providers, payers, or clients when necessary Maintain HIPAA compliance and data security standards Qualifications Preferred: Experience with medical billing, coding, or claim processing Familiarity with EHR or billing software Strong...