Hospital Coding Spec II-PBB Clinic

Job Overview

This role is responsible for ensuring accurate and appropriate gathering of information into coding classification systems to meet departmental, hospital, and outside agency requirements. The candidate will ensure proper reimbursement, compliance, and charging in accordance with coding guidelines and regulatory agencies.

• 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)
• Two (2) years of hospital coding experience.

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

• Reviews and accurately interprets medical record documentation from all hospital accounts to identify all diagnosis and procedures that affect the current outpatient encounter, assigning the appropriate ICD‑10, CPT, or modifier codes.
• Assigns hospital codes to a variety of patient classes (e.g., ED, OBS, SDC).
• Ensures quality and timely coding, charging, and abstraction of accounts are completed daily for assigned specialty areas.
• Maintains and enhances coding knowledge through quality review, participation in clinical in‑services and coding seminars, and study of reference materials.
• Ensures accuracy, quality, and timeliness of data needed to obtain a clean bill.
• Contacts physicians or other personnel to obtain information required to accurately code assignments, collaborating with other offices as necessary to facilitate the billing process.

• 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.

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

• Concentrate and maintain accuracy during constant interruptions.
• Make independent decisions.
• Prioritize job duties effectively.
• Handle high‑stress situations.
• Adapt to changes in the workplace.
• Organize and complete assigned tasks.
• Have excellent written and verbal communication skills.
• Know anatomy, physiology, and medical terminology.

Scheduled Weekly

Hours:

40

Exempt/Non‑Exempt:
Non‑Exempt

Shift: United States of America

Company: SYSTEM West Virginia University Health System

Cost Center: 548 SYSTEM HIM Coding Analysis