Coder, Certified, Health Information Management, Full Time, Day

Valley Health System; Blacksburg (VA); On-site; USD 44,000 - 55,000; Full time

Benefits offered by this job

Health benefits

Life insurance

Retirement plan

Tuition assistance

EAP

Fitness center discount

Day care discounts

Job summary

Valley Health System in Blacksburg seeks a seasoned clinical documentation auditor to conduct reviews of billed services for VMG enterprise accuracy. This role supports audit responses and improves coding quality across departments.

The candidate will assist in payor and governmental audits, respond to denials and inquiries, and research new coding guidelines to enhance reimbursement processes and corporate compliance.

Qualifications

• CPC (AAPC) certification required.
• Degree in Health Services Management, Business or related field preferred.
• Extensive knowledge of ICD-9-CM/ICD-10-CM and CPT coding principles/guidelines required.
• Extensive knowledge of reimbursement systems required.

Responsibilities

• Reviews billed services for clinical documentation accuracy.
• Assists in reviews and responses to payor/government audits.
• Assists in replying to payor denials and patient inquiries related to billed services.
• Researches new coding guidelines and codes; supports VHS corporate compliance.

Skills

Medical Terminology

ICD-9/ICD-10/CPT Coding

Communication with physicians

Practice management software

Education

CPC (AAPC) certified

Health Services Management degree preferred

ICD knowledge

Reimbursement systems knowledge

Tools

Electronic health records

Coding software

Job description

POSITION SUMMARY

Conducts reviews and provides recommended corrections of billed services as it relates to clinical documentation for the VMG enterprise. Assists in the reviews and responses to payor and governmental audits of billed services. Assists the CBO in replying to payor denials and patient inquiries as it relates to services billed. Reviews and research new coding guidelines and codes. Assists the staff of the VHS corporate compliance.

EDUCATION

CPC (AAPC) required. Degree in Heath Services Management, Business or another related field preferred. Extensive knowledge of ICD-9-CM/ICD-10 CM and CPT coding principles and guidelines required. Extensive knowledge of reimbursement systems required.

EXPERIENCE

Eight to ten years’ experience (college degree can be substituted for years of experience) and expertise in ICD-9 CM/ICD-10 CM Coding.

SPECIAL SKILLS

Medical Terminology, ICD-9 CM/ICD-10 CM and CPT-4 Coding, Ability to relate to people and work closely with physicians and other VMG staff. Computer skills and knowledge of practice management software.

Job Location

Kraft Center

Shift

Day (United States of America)

Benefits

• Medical/Prescription, Dental & Vision Discount Program (Full Time/Part Time Employees)
• Group Term Life Insurance and AD&D(Full Time Employees)
• Flexible Spending Accounts and Commuter Benefit Plans
• Supplemental Voluntary Benefits ( e.g. Short-term and Long-term Disability, Whole Life Insurance, Legal Support, etc.)
• 6 Paid Holidays, Paid Time Off (varies), Wellness Time Off, Extended Illness
• Retirement Plan
• Tuition Assistance
• Employee Assistance Program (EAP)
• Valley Health LifeStyles Fitness Center Membership Discount
• Day Care Discounts for Various Daycare Facilities

Salary

Joining Valley Health System means becoming part of a dedicated team that values the highest quality of care in a supportive environment. In our commitment to high performance and reliability, we encourage and recognize exceptional individual performance through our industry leading compensation practices including a starting salary and benefits in accordance with your role, experience, education, and licensure. Actual individual salaries vary depending on these factors. The salary listed does not include other forms of compensation or benefits.

Pay Range: $32.36 - $40.45 (per hour)

EEO Statement

Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran’s status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.