34 jobs found in West Virginia

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 Consistently demonstrates coding yearly average productivity as determined by departmental policy or guidelines. Quality/Accuracy Applies all codes according to established coding guidelines with an accuracy rate as...

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.

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 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...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Job Summary Evaluate patients records, work to resolve inaccurate charges, and assign appropriate diagnoses & procedure codes using the coding systems according to HIPPA regulations. Abstract pertinent data from patients' clinical records. Review records for reimbursement purposes and to ensure quality control. Responsibilities • Read and interpret referred outpatient, series, and ED medical record entries to identify all diagnoses and surgical procedures. • Assign appropriate ICD-10, ICD-9-CM, and CPT-4 codes in compliance with recognized coding principles and department policies. • Determine appropriate diagnostic and procedural sequencing in compliance with UHDDS guidelines. • Effectively utilize the APCpro features of 3M with the 3M encoder and grouper software to identify appropriate assign modifiers, make appropriate changes to charges, notify departments to make changes, identify missing documentation, and prepare the account as a clean claim for billing to...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...

Coder Boone Memorial Health is seeking a detail-oriented and motivated Coder (HIM Coder) to join our Health Information Management team. In this role, you will play a critical part in ensuring accurate coding, regulatory compliance, and timely reimbursement for outpatient services. If you have a passion for medical coding, enjoy working independently, and take pride in accuracy and attention to detail, we encourage you to apply. Essential Functions Review medical record documentation and accurately assign diagnosis and procedure codes using ICD-10-CM, CPT, and HCPCS guidelines. Abstract patient information into electronic medical record systems while ensuring data accuracy and integrity. Apply CMS regulations, payer-specific guidelines, and coding compliance standards to support ethical and accurate reimbursement. Resolve coding-related claim edits and assist with denial management. Collaborate with providers, billing staff, and ancillary departments to answer...

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...

CVS Health is seeking a dedicated Medical Records Auditor to perform audit and abstraction of provider or vendor records to identify ICD codes submitted to CMS for risk adjustment. You will ensure accuracy and compliance with state and federal regulations, maintain strict timeliness, and demonstrate proficiency in coding guidelines. This full-time role offers comprehensive benefits and opportunities to contribute to safer, higher-quality care. #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...