HB-PB Coding Spec II (Emergency Department)
WFA Digital Insight
As demand for skilled medical coders continues to rise, with a notable 21% increase in job postings over the last year, professionals with expertise in coding classification systems are in high demand. WVU Medicine stands out for its commitment to accurate and compliant coding practices, crucial in the ever-evolving healthcare landscape. Candidates should be prepared to leverage their knowledge of ICD-10, CPT, and modifier codes, alongside strong analytical skills, to excel in this role. With the right certifications and experience, applicants can capitalize on this growing trend, particularly in remote settings where flexibility and autonomy are prized.
Job Description
About the Role
The HB-PB Coding Spec II position at WVU Medicine is a critical component of the healthcare system, ensuring accurate and compliant coding and billing practices. Day-to-day, this involves reviewing medical record documentation to identify diagnoses and procedures, assigning appropriate codes, and maintaining high levels of coding knowledge through continuous education and quality reviews. This role is integral to the hospital's compliance program, requiring collaboration with physicians and other healthcare professionals to maximize correct coding initiatives.The role entails working within a dynamic team environment, where communication and problem-solving skills are essential. The successful candidate will be responsible for coding a variety of patient classes and will be involved in the Split Claims process for Critical Access hospitals. This position offers the opportunity to work in a fast-paced, challenging environment where no two days are the same, requiring adaptability, attention to detail, and a strong analytical mindset.
What You Will Do
- Review and accurately interpret medical record documentation to identify diagnoses and procedures.
- Assign appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure.
- Perform the coding/billing Split Claims process to ensure correct coding and reimbursement.
- Maintain and enhance current levels of coding knowledge through quality reviews, educational seminars, and study of reference materials.
- Contact physicians or other necessary personnel to obtain information required for accurate coding assignments.
- Monitor provider documentation, performing audits to assess coding accuracy and providing education as needed.
- Assist Revenue Cycle Operations in claim development functions to resolve problem patient accounts.
- Analyze and resolve issues related to missing charges and problem accounts by researching departmental reimbursement information.
- Collaborate with hospital coding and physician office coding teams to ensure compliance and maximize correct coding initiatives.
What We Are Looking For
- High School Diploma or Equivalent.
- Current HIM or Coding Certification through AHIMA or AAPC.
- Two years of medical coding experience.
- Proficiency in Excel and other coding software.
- Strong analytical and problem-solving skills.
- Ability to communicate effectively with healthcare professionals.
- Experience with ICD-10, CPT, and modifier codes.
- Knowledge of compliance and regulatory coding guidelines.
- Ability to work in a fast-paced, dynamic environment.
Nice to Have
- Two years of physician office coding experience.
- Experience with Split Claims processes for Critical Access hospitals.
- Certification in a specialized area of medical coding.
- Experience working in a hospital or clinical setting.
- Knowledge of billing and reimbursement processes.
Benefits and Perks
- Competitive salary.
- Comprehensive health insurance package.
- Retirement savings plan.
- Paid time off and holidays.
- Opportunities for professional development and continuing education.
- Remote work stipend.
- Flexible working hours.
- Access to cutting-edge medical coding technology and software.
How to Stand Out
- Ensure your resume and cover letter are tailored to the medical coding field, highlighting relevant certifications and experience.
- Prepare to discuss specific examples of your coding experience and how you've handled complex coding scenarios.
- Familiarize yourself with WVU Medicine's coding practices and compliance standards to show your interest and dedication to the role.
- Develop a portfolio of your work, including examples of your coding assignments and any quality improvement projects you've led.
- Research the current market standards for medical coder salaries to negotiate your compensation package effectively.
- Be prepared to ask insightful questions during the interview about the team, the role, and opportunities for professional growth.
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