[Hiring] Single Path Coding Spec II @WVU Medicine

Role Description

This position is responsible for the accurate assignment of procedures and diagnostic codes to patient records using different forms of coding classification systems. This includes abstracting data for appropriate reimbursement, compliance, and charging with the national, regional, and local guidelines and policies. Applies clinical knowledge of disease processes, physiology, pharmacology, and surgical techniques by reviewing and interpreting all clinical documentation. In most cases, responsible for the coding of moderately complex patient classes i.e. ED, same day care, clinic visits, etc. Periodically perform tasks in the areas of claim edits and/or denials.

Qualifications

• High School Diploma or Equivalent.
• Current HIM or Coding Certification through ONE of the following:
  • American Health Information Management Association (AHIMA)
  • American Academy of Professional Coders (AAPC)
• Two (2) years of medical coding experience.

Requirements

• Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
• Reviews and accurately interprets medical record documentation and assigns all diagnosis and/or procedures using the appropriate ICD-10, CPT, DRG or modifier codes.
• Responsible for hospital based and/or provider based coding on moderately complex services, i.e. ED, same day care, clinic visits, etc.
• Responsible for hospital based coding of low complex inpatient services.
• Ensures appropriate MS-DRG assignment based on accurate ICD-10-CM and ICD-10-PCS coding assignment and medical record documentation.
• Assigns hospital codes to a variety of patient classes (i.e. I/P, IRAD, etc.).
• Maintains the coding productivity standard.
• Maintains the coding quality standard.
• Participates in quality reviews, in-services, seminars, meetings, reviewing reference material and other educational opportunities as directed.
• Works and communicates with other offices in any manner necessary to facilitate the coding process.
• Reports trends or concerns of documentation and charges to management.
• Proficient in coding-related technology around day-to-day functions i.e. (3M, MS Office, Teams, Etc.).
• Communicate professionally and appropriately when using any communication channels.
• Other duties as assigned.

Benefits

• Must be able to sit for long periods of time.
• Must have visual and hearing acuity within the normal range.
• Must have manual dexterity needed to operate computer and office equipment.

Company Description

Professional Surgical CPT Coding experience highly preferred.

Scheduled Weekly Hours: 40

Shift: Exempt/Non-Exempt: United States of America (Non-Exempt)

Company: SYSTEM West Virginia University Health System

Cost Center: 548 SYSTEM HIM Coding Analysis