Professional Coding Specialist II-(Interventional Radiology) West Virginia University MedicineProfessional Coding Specialist II-(Interventional Radiology)Preston County, WVRemoteAccurately codes and/or audits complex surgical procedures as part of daily workload (85%-95% of workload) including but not limited to: Bariatric surgery, Cardiothoracic surgery, Gynecologic surgery, Oncology surgery, Orthopaedics surgery, Thoracic surgery, Transplant surgery, Trauma and burn surgery, and Open Vascular surgery. Reviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified.
Inpatient Hospital Coding Specialist III West Virginia University MedicineInpatient Hospital Coding Specialist IIIMonongalia County, WVReviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10-CM, ICD-10-PCS, CPT, or modifier codes for each diagnosis and procedure that is identified (inpatient and IRAD). Responsible for obtaining accurate and complete documentation in the medical record for accurate coding/MS-DRG assignment, severity of illness and risk of mortality for each medical record.
Hospital Coding Spec II Cancer Center West Virginia University MedicineHospital Coding Spec II Cancer CenterWetzel County, WVReviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
Hospital Coding Spec II - Observation West Virginia University MedicineHospital Coding Spec II - ObservationWetzel County, WVReviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
Hospital Coding Spec II PBB West Virginia University MedicineHospital Coding Spec II PBBMarion County, WVReviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
Hospital Coding Spec II-PBB Clinic West Virginia University MedicineHospital Coding Spec II-PBB ClinicMarion County, WVReviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
Coding Auditor-Educator West Virginia University MedicineCoding Auditor-EducatorMonongalia County, WVEXPERIENCE: Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the "Teaching Physician Guidelines" for Professional Coding Positions preferred. Coordinates audits performed by outside agencies by obtaining accounts to be reviewed, acting as a liaison between agency and HIM personnel to gather data to be reviewed, facilitating exit conferences with Coding Specialists, and providing final reports to Coding Manager.
Professional Coding Auditor-Educator West Virginia University MedicineProfessional Coding Auditor-EducatorMarion County, WVEXPERIENCE: Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the "Teaching Physician Guidelines" for Professional Coding Positions preferred. Coordinates audits performed by outside agencies by obtaining accounts to be reviewed, acting as a liaison between agency and HIM personnel to gather data to be reviewed, facilitating exit conferences with Coding Specialists, and providing final reports to Coding Manager.
Inpatient Hospital Coding Manager West Virginia University MedicineInpatient Hospital Coding ManagerMonongalia County, WVMINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Bachelor's degree in Healthcare Management, Business, Finance or Accounting AND Five (5) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager OR; Associate's Degree in Health Information Technology AND Seven (7) years of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager OR; In Lieu of Bachelor or Associate's Degree, Nine (9) years of experience of in-depth experience within healthcare operations, patient account services, revenue cycle operations, healthcare auditing, or coding/billing either from a consulting perspective or as an employee/manager. Maintains strong understanding of coding metrics, leadership skills, project management, and leads the team in building plans to support operational departments to achieve optimal practice performance through strong analytical capabilities, process improvement identification, and technology enhancements.
Clinical Denial Specialist - Diagnosis Related Grouping (DRG) West Virginia University MedicineClinical Denial Specialist - Diagnosis Related Grouping (DRG)Monongalia County, WVMINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Associate degree in healthcare administration, Nursing, Health Information Management, or related field AND Five (5) years of experience in hospital billing, acute care setting, CDI, inpatient coding, or revenue cycle'. Current Licensed Practical Nurse license issued by the state in which services will be provided or current multi-state Licensed Practical Nurse license through the enhanced Nurse Licensure Compact (eNLC).
Enterprise Provider Compliance Auditor-Educator West Virginia University MedicineEnterprise Provider Compliance Auditor-EducatorWVEvaluates the scope of the audit and develops/completes the required compilation of data analytical reports (independently of IT and/or Data Analytics) from the appropriate application or software in order to identify the audit universe and then select the appropriate sample based on the scope of the audit criteria. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE: High School Diploma or Equivalent AND Seven (7) Years of experience in multi-specialty coding, E&M coding, procedural/surgical coding OR; Associate's Degree AND Five (5) years experience in multi-specialty coding, E&M coding, procedural/surgical coding.
Patient Financial Advocate Firstsource SolutionsPatient Financial AdvocateMorgantown, WVThe Patient Financial Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. Essential Duties and Responsibilities: Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day.
Patient Financial Advocate Firstsource Solutions LtdPatient Financial AdvocateMorgantown, WVThe Patient Financial Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. Essential Duties and Responsibilities: Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day.
Clinical Denials Specialist West Virginia University MedicineClinical Denials SpecialistMonongalia County, WVThis includes but is not limited to, denial investigation, follow-up with insurance companies, billing, auditors and clinics/hospital departments, non-clinical appeal writing, accurate and timely account adjustments all while ensuring compliance with all federal, state, third-party billing regulations and contract agreements. Manages and distributes incoming mail in an accurate and timely manner; includes Epic documentation, logging incoming correspondence, uploading to document warehouse and routing mis-directed mail; processes outgoing certified mail.
Associate Pharmacy Analyst West Virginia University MedicineAssociate Pharmacy AnalystWVHigh School Diploma and Nationally Certified Pharmacy Technician within 15 months of hire and four (4) years' experience in a healthcare setting or three (3) years' experience with financial reporting or data analytics. Interacts with various hospital departments responsively and productively to promote efficient systems interface and problem resolution related to technological, fiscal, and clinical management as deemed necessary by management.
Clinical Optimization Specialist - Signature Service Line West Virginia University MedicineClinical Optimization Specialist - Signature Service LineMorgantown, WVThis role will report to the Heart and Vascular Assistant Vice President of Finance and partner directly with Revenue Cycle teams, as well as collaborate with HVI physicians, APPs, and IT analysts to optimize documentation workflows and clinical templates within Epic's EMR. MINIMIM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC).
Clinical Revenue Cycle Educator West Virginia University MedicineClinical Revenue Cycle EducatorMonongalia County, WVMINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC). The Clinical Revenue Cycle Educator provides leadership, coordination, and delivery of training programs across clinical revenue cycle functions, including CDI, coding, denials and utilization review.
Location Manager - West Mifflin, PA Advanced Dermatology & Cosmetic SurgeryLocation Manager - West Mifflin, PAJefferson, PABenefits packages, including medical, dental, STD, LTD, Life, and other voluntary benefit offerings (for employees working 30+ hours per week). Advanced Dermatology and Cosmetic Surgery's mission is to deliver the highest quality patient care and experience in dermatology and aesthetic services.
Revenue Cycle Support Specialist West Virginia University MedicineRevenue Cycle Support SpecialistWVThis includes handling insurance correspondence, patient billing inquiries, claim follow-ups, denial management letters, and internal communications to ensure accurate, timely, and compliant resolution of revenue cycle issues. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping and feeling are necessary body movements utilized in performing duties throughout the work shift.
Records Management Coordinator Laurel Ridge CenterRecords Management CoordinatorUniontown, PennsylvaniaFull timeAs a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Responsibilities: The Records Management Coordinator is responsible to maintain, secure and store all written and electronic records within the nursing center in accordance with federal/state regulations and the company's records management program.