Ensure accurate and appropriate gathering of information into coding classification systems to meet departmental, hospital, clinic, and outside agency requirements.
This role supports reimbursement, compliance, and charging activities by obtaining accurate and complete medical record documentation for proper coding assignment, severity of illness, and risk of mortality.
The position is part of a broader compliance effort related to hospital and physician coding and billing functions. It involves interaction with physician and non-physician providers to support correct coding initiatives and hospital coding workflows.
Responsibilities include analyzing and resolving missing charges and problem accounts, coding more complex patient classes such as inpatient, observation, and same-day care, and performing split claim processes for Critical Access hospitals.
Additional duties include maintaining coding knowledge, ensuring timely and accurate coding and abstraction, supporting clean bill processes, monitoring provider documentation, performing coding audits, and assisting Revenue Cycle Operations with claim development and problem account resolution.
Minimum Qualifications
- High school diploma or equivalent
- Current HIM or coding certification through AHIMA or AAPC
- 2 years of medical coding experience
Preferred Qualifications
- 2 years of physician office coding experience
Skills and Abilities
- Knowledge of anatomy, physiology, and medical terminology
- Ability to maintain accuracy during interruptions
- Independent decision-making and prioritization skills
- Strong written and verbal communication skills
- Ability to meet quality and productivity standards
- Ability to adapt to workplace changes and handle high-stress situations
Location
West Virginia, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
3 days ago