Inpatient Hospital Coding Specialist II

WVU Medicine; Core (WV); On-site; USD 52,000 - 78,000; Full time

Job summary

SYSTEM West Virginia University Health System is seeking a hospital coder to accurately interpret medical records and assign ICD-10/CPT codes for outpatient encounters. The role requires a current HIM or coding certification and strong attention to detail in a hospital setting.

Responsibilities include assigning codes across ED, OBS, and other classes, ensuring timely coding and billing readiness, and maintaining up-to-date coding knowledge through participation in trainings and internal

Qualifications

• High School Diploma or Equivalent.
• Current HIM or Coding Certification through AHIMA or AAPC.

Responsibilities

• Reviews and accurately interprets medical record documentation to identify diagnoses/procedures and assigns ICD-10, CPT, or modifiers.
• Assigns hospital codes to various patient classes (ED, OBS, SDC, etc.).
• Ensures quality, timely coding, charging and abstraction for assigned areas.
• Maintains coding knowledge through training and updates to manuals.
• Ensures data accuracy for clean billing.
• Contacts physicians or others to obtain information for accurate coding and supports billing processes.

Skills

Medical coding

ICD-10 coding

CPT coding

Documentation review

Education

High School Diploma or Equivalent

AHIMA credential

AAPC credential

HIT program graduate

Job description

Minimum Qualifications

EDUCATION, CERTIFICATION, AND/OR LICENSURE

• High School Diploma or Equivalent.
• Current HIM or Coding Certification through ONE of the following:
• American Health Information Management Association (AHIMA)
• American Academy of Professional Coders (AAPC)

Experience

• Two (2) years of hospital coding experience.

Preferred Qualifications

EDUCATION, CERTIFICATION, AND/OR LICENSURE

• Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.

CORE DUTIES AND RESPONSIBILITIES

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

• Reviews 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. Codes moderately complex patient classes.
• Assigns hospital codes to a variety of patient classes (i.e. ED, OBS, SDC, etc.).
• Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas.
• Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals.
• Assures the accuracy, quality, and timely review of data needed to obtain a clean bill.
• Contacts physicians or any persons necessary to obtain information required for to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process.

PHYSICAL REQUIREMENTS

• Must be able to sit for long periods of time.
• Must have visual and hearing acuity within the normal range.
• Must have manual dexterity needed to operate computer and office equipment.

WORKING ENVIRONMENT

• Standard office environment.
• Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material.
• May require travel.

Skills And Abilities

• Must be able to concentrate and maintain accuracy during constant interruptions.
• Must possess independent decision-making ability.
• Must possess the ability to prioritize job duties.
• Must be able to handle high stress situations.
• Must be able to adapt to changes in the workplace.
• Must be able to organize and complete assigned tasks.
• Must possess excellent written and verbal communication skills.
• Must possess the knowledge of anatomy, physiology and medical terminology.

Additional Job Description

Scheduled Weekly Hours: 40

Exempt/Non-Exempt

Shift: United States of America (Non-Exempt)

Company: SYSTEM West Virginia University Health System

Cost Center: 548 SYSTEM HIM Coding Analysis