56 Results for

Coding Jobs in West Virginia

Jobs

Office Manager- UHC West Virginia University Medicine

Clarksburg, WV

As designated delegate, works directly with providers to complete any travel and/or purchase reimbursements in WorkDay; also registers providers for conferences and/or makes travel arrangements (hotel/flight/etc.) using department credit card on behalf of the provider. The Office Manager is the key contact in a community Emergency Department/Hospital Medicine/Intensivist Department, supporting all efforts for the Physicians and Advance Practice Professionals (APPs), as well as the liaison to Community Hospital Departments that interact with the Medical Director and Providers.

30+ days ago

Sepsis Coordinator Charleston Area Medical Center Health System Inc

Charleston, WV

Bachelor's Degree (Required) • Bachelor of Science in Nursing required • Minimum of 3-5 years of recent acute care nursing experience required; emergency, critical care, hospital medicine, quality, care coordination, or performance improvement experience preferred. Track and analyze performance related to SEP-1 compliance, lactate timing and repeat lactate completion, blood cultures, time-to-antibiotics, fluid administration, reassessments, mortality, readmissions, ICU transfer, post-operative sepsis, and length of stay.

30+ days ago

Nurse Practitioner, Adult and/or Gerontology CommuniCare

Charleston, West Virginia

PHP Nurse Practitioners have a passion for delivering quality care to seniors and other residents in a variety of healthcare settings that can include, but are not limited to, skilled nursing facilities, assisted living, and independent living communities, as well as via telehealth. The NP collaborates with PCPs and interdisciplinary teams in the medical management of their assigned population and involves the residents and their families in developing plans of care.

28 days ago

Nurse Practitioner, Adult or Gerontology CommuniCare

Charleston, West Virginia

30+ days ago

Insurance Claims Specialist HB West Virginia University Medicine

Monongalia County, WV

Responsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. Maintains knowledge of revenue cycle operations, third party reimbursement and medical terminology including all aspects of payer relations, claims adjudication, contractual claims processing, credit balance resolution and general reimbursement procedures.

30+ days ago

Staff Software Development Engineer CVS Health Corp

$106,605–$284,280 / year

Furthermore, the Staff Engineer role includes closely working with a team of engineers to drive delivery excellence, partner with business and other IT leaders to build digital assets, provide expert level support to resolve complex issues and provide RCA, identify gaps in systems in current digital eco system and provide solutions to enhance overall performance. CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world.

13 days ago

Staff Software Development Engineer - Java CVS Health Corp

$106,605–$284,280 / year

As a Staff Engineer and Technical Leader, you will partner closely with Product, Architecture, Security, Operations, and Engineering teams to build innovative solutions that improve healthcare experiences for our members, providers, and colleagues. This role requires a strong technical leader who can drive architecture decisions, mentor engineers, and deliver highly available, secure, scalable and resilient applications that support millions of customers.

12 days ago

Pre-Certification Specialist Charleston Area Medical Center Health System Inc

Hurricane, WV

The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department's identified patient ages. Correspond with medicare and various insurance companies to facilitate obtaining pertinent data on compliance, authorizations, verifications, progress notes, medical necessity guidelines and precertification and pre-authorization requirements.

19 days ago

NP Nurse Practitioner Community Care Northeast Healthcare Recruitment

Charleston, WV

$101,000–$156,000 / year

The NP PA will be accountable for caring for patients, maintaining accurate and current patient records, and scheduling initial, urgent and follow-up appointments to patients as required. We are looking for Nurse Practitioners and Physician Assistants to join our team in conducting patient centered care in patients' homes.

24 days ago

Patient Accounts Resolution Specialist -- Patient Accounts -- General Hospital Charleston Area Medical Center Health System Inc

Charleston, WV

Review assigned work items daily to resolve "at risk, past due, and technical denial" claim issues Work with coding to resolve coding related denials Work with Utilization Review to resolve authorization related denials and appeals Use various payer web portals and DDE systems to obtain claim information that will help in resolution Contact payers by phone to resolve claim issues Contact Physician offices to obtain necessary information needed to resolve claims Manually and accurately resolve claims in Suspense (Medicare only) Ensure that medical records and itemized statement are submitted and received when requested by payers (work with contracted agencies as applicable) Follow proper workflow assigned by management Ensure accurate rebilling of claims to avoid denials Communicate billing errors that can be prevented to Department Manager, Supervisor, or Team Lead Communicate identified system related issue to Department Manager, Supervisor, or Team Lead Accurately, Professionally, and thoroughly document necessary information necessary to resolve outstanding balances in encounter timeline Ensure that result driven follow up is be accomplished and documented. Other duties as assigned Skills: Healthcare billing and collection knowledge Ability to interpret a payer explanation of benefit (EOB) Ability to identify and resolve claim issues Excellent communication and customers service skills Computer and keyboarding skills Knowledge of Microsoft software applications (Excel and Word) a plus Cerner knowledge a plus.

30+ days ago

Financial Resolution Advocate West Virginia University Medicine

Collects deposits/co-payments/deductibles/patient liability payments when applicable, provides patient receipt and documents payment in the registration/billing systems. Communicates and interacts with clients, families, visitors, physicians, departmental and hospital staff and the public in general in a manner that demonstrates professionalism and concern for the individuals' need(s).

30+ days ago

Patient Financial Resolution Advocate West Virginia University Medicine

Weirton, WV

Collects deposits/co-payments/deductibles/patient liability payments when applicable, provides the patient a receipt and documents payment in the registration/billing systems. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping and feeling are necessary body movements utilized in performing duties throughout the work shift.

30+ days ago

Director Salesforce Platform Ryder System Inc

Charleston, WV

Stakeholder leadership, business alignment, and enterprise decision-making:Build durable relationships with Sales Operations, Service, Product, Application Support, Security, Enterprise Architecture, Data, Integration, Infrastructure, Risk, Finance, Procurement, and business-segment leaders; translate competing priorities into enterprise choices. Enterprise Salesforce strategy, roadmap, and governance:Collaborate with key stakeholders to establish a multi-year Salesforce vision, target-state architecture, org strategy, capability roadmap, and investment plan aligned to Ryder's sales, service, customer, data, and digital strategies.

30+ days ago

Senior Manager - Software Development Engineering CVS Health Corp

$106,605–$284,280 / year

3+ years of experience defining technology strategy and leading the adoption and operationalization of technologies such as AI/ML, cloud services, automation, and developer productivity tools in a large-scale enterprise environment with evidence of measurable impact (e.g., reduction in MTTR, cost savings, efficiency gains, or adoption KPIs). Currently, we are seeking Senior Manager - Software Development Engineering who will lead and manage a team of software engineers, providing hands-on technical direction, architecture guidance, and mentorship while establishing measurable engineering goals aligned with business outcomes.

30+ days ago

Physical Therapist The Centers for Advanced Orthopaedics LL

Ranson, WV

$95,000 / year
Part time

The Physical Therapist administers necessary physical therapy treatment as determined through a comprehensive evaluation process, for patients suffering from injuries or dysfunction of systems, including but not limited to the musculoskeletal, neuromuscular, central nervous system, cardiovascular and integumentary systems. Administers physical therapy treatments and monitors such treatment within the scope of physical therapy practice as appropriate for the patient's condition to decrease pain, increase range of motion and strength and promote function.

6 days ago

Medical Billing Customer Service Representative Five Star Solutions

Wheeling, West Virginia

Remote

14 - $14 an hour Shift differential(extra $1/hr nights & wkds) Work hours- 9:00am-6:00pm (EST); Work Days- Mon-Fri Paid Training - typically 1 week in length from 9:00am-6:00pm (EST) Status- Full Time 40 hours Five Star Solutions values diversity and is committed to cultivating a professional, diverse workforce by hiring the best people available and providing the best service possible to our customers. Join our team as a Medical Billing Customer Service Representative and help patients navigate their billing questions with professionalism, patience, and care!

13 days ago

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Coding Jobs in West Virginia

Office Manager- UHC West Virginia University Medicine

Sepsis Coordinator Charleston Area Medical Center Health System Inc

Nurse Practitioner, Adult and/or Gerontology CommuniCare

Nurse Practitioner, Adult or Gerontology CommuniCare

Insurance Claims Specialist HB West Virginia University Medicine

Staff Software Development Engineer CVS Health Corp

Staff Software Development Engineer - Java CVS Health Corp

Pre-Certification Specialist Charleston Area Medical Center Health System Inc

NP Nurse Practitioner Community Care Northeast Healthcare Recruitment

Patient Accounts Resolution Specialist -- Patient Accounts -- General Hospital Charleston Area Medical Center Health System Inc

Financial Resolution Advocate West Virginia University Medicine

Patient Financial Resolution Advocate West Virginia University Medicine

Director Salesforce Platform Ryder System Inc

Senior Manager - Software Development Engineering CVS Health Corp

Physical Therapist The Centers for Advanced Orthopaedics LL

Medical Billing Customer Service Representative Five Star Solutions

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