ICD-10/CPT Coding Specialist – Inpatient & Outpatient

wvumedicine; United States; Remote; USD 52,000 - 68,000; Full time

Job summary

SYSTEM West Virginia University Health System is seeking a Medical Coding Specialist to interpret clinical documentation and assign ICD-10/CPT codes for inpatient and outpatient encounters. The role involves ensuring accurate coding, billing accuracy, and collaboration with physicians and revenue cycle teams.

Ideal candidates have a high school diploma, current HIM or coding certification (AHIMA/AAPC), and at least two years of medical coding experience, including physician office coding.

Qualifications

• High School Diploma or Equivalent.
• Current HIM or Coding Certification through AHIMA or AAPC.
• Two years of medical coding experience.
• Two years of physician office coding experience.

Responsibilities

• Reviews and interprets medical record documentation to identify all diagnosis and procedures and assigns ICD-10, CPT, or modifiers.
• Assigns hospital and/or professional codes to various patient classes (I/P, OBS, SDC, etc.).
• Performs the coding/billing Split Claims process to ensure correct coding and reimbursement.
• Ensures timely coding, charging and abstraction of accounts for assigned specialties.
• Maintains coding knowledge through reviews, in-services and study of coding manuals.
• Obtains information from physicians as needed to accurately code assignments and facilitates the billing process.
• Performs audits to assess provider coding accuracy and education as needed.
• Supports Revenue Cycle Operations in claim development to resolve problem accounts.

Skills

Medical coding

Education

High School Diploma or Equivalent

HIM Certification

Coding Certification (AHIMA/AAPC)

Job description

SYSTEM West Virginia University Health System is seeking a Medical Coding Specialist to interpret clinical documentation and assign ICD-10/CPT codes for inpatient and outpatient encounters. The role involves ensuring accurate coding, billing accuracy, and collaboration with physicians and revenue cycle teams.

Ideal candidates have a high school diploma, current HIM or coding certification (AHIMA/AAPC), and at least two years of medical coding experience, including physician office coding.