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Prof Cod Spec I (86789) - ACQUISITION

WVU Medicine
Full-time
On-site
United States
🌐 Digital Marketing

πŸ“Œ Core Information

πŸ”Ή Job Title: Professional Coding Specialist I (86789) - ACQUISITION

πŸ”Ή Company: WVU Medicine

πŸ”Ή Location: Remote (Home Work - Monongalia County WV (Local))

πŸ”Ή Job Type: Full-Time

πŸ”Ή Category: Healthcare

πŸ”Ή Date Posted: May 27, 2025

πŸ”Ή Experience Level: Entry/Mid-Level

πŸ”Ή Remote Status: On-site (Remote work available)

πŸš€ Job Overview

Key aspects of this role include:

  • Accurate interpretation and coding of medical records
  • Ensuring compliance with coding guidelines and regulatory agencies
  • Collaborating with providers to maximize correct coding initiatives
  • Analyzing and resolving issues related to missing charges and problem accounts

ASSUMPTION: This role requires a high level of attention to detail and strong communication skills to work effectively with providers and other departments.

πŸ“‹ Key Responsibilities

βœ… Reviews and accurately interprets medical record documentation to assign appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure identified

βœ… Ensures quality and timely coding, charging, and abstraction of accounts daily for assigned specialty areas

βœ… Maintains and enhances current levels of coding knowledge through continuous learning and updates

βœ… Assures the accuracy, quality, and timely review of data needed to obtain a clean bill

βœ… Contacts physicians or other persons necessary to obtain information required to accurately code assignments

βœ… Monitors provider documentation, performs audits, and provides education as needed

βœ… Provides assistance to Revenue Cycle Operations in claim development functions to resolve problem patient accounts

ASSUMPTION: This role involves a significant amount of data entry and requires strong attention to detail to ensure accurate coding and billing.

🎯 Required Qualifications

Education: High School Diploma or Equivalent

Experience: None specified

Required Skills:

  • Certification in one of the following: RHIT, RHIA, CCS, CCS-P, or CPC within one year of hire
  • Knowledge of anatomy, physiology, and medical terminology
  • Excellent written and verbal communication skills
  • Ability to concentrate and maintain accuracy during constant interruptions
  • Independent decision-making ability
  • Ability to prioritize job duties and adapt to changes in the workplace

Preferred Skills:

  • One year of medical coding experience

ASSUMPTION: While not explicitly stated, it is assumed that candidates should have a strong understanding of medical coding guidelines and regulations to excel in this role.

πŸ’° Compensation & Benefits

Salary Range: $35,000 - $45,000 per year (Estimated based on industry standards for entry-level medical coders in West Virginia)

Benefits:

  • Health, dental, and vision insurance
  • Retirement plans (401k and pension)
  • Paid time off (vacation, sick, and holidays)
  • Tuition reimbursement
  • Employee assistance program

Working Hours: 40 hours per week, with the possibility of overtime or on-call duties

ASSUMPTION: The salary range provided is an estimate based on industry standards and may vary depending on the candidate's experience and negotiation skills.

πŸ“Œ Applicant Insights

πŸ” Company Context

Industry: WVU Medicine is a healthcare system that operates under the brand WVU Medicine, which is West Virginia’s largest health system and the state’s largest employer with more than 3,400 licensed beds, 4,600 providers, 35,000 employees, and $7 billion in total operating revenues.

Company Size: WVU Medicine has 10,001+ employees, making it a large organization with significant resources and opportunities for career growth.

Founded: WVU Medicine was founded in 1996 as a result of a merger between West Virginia University Hospitals and the Mon Health System.

Company Description:

  • WVU Medicine is a not-for-profit organization that provides healthcare services to residents of West Virginia and the surrounding region.
  • The health system is comprised of 25 hospitals, five institutes, and numerous outpatient facilities and clinics.
  • WVU Medicine is committed to providing high-quality, patient-centered care and is a major referral center for the state.

Company Specialties:

  • Neurosurgery
  • Pediatrics
  • Emergency medicine
  • Cardiothoracic surgery
  • Cancer services
  • Sports medicine
  • Internal medicine
  • Orthopaedics
  • Heart and vascular services

Company Website: http://www.wvumedicine.org

ASSUMPTION: WVU Medicine's large size and diverse range of specialties provide ample opportunities for career growth and professional development.

πŸ“Š Role Analysis

Career Level: This role is an entry to mid-level position within the medical coding field. With experience and demonstrated proficiency, candidates can advance to senior roles or specialize in specific areas of medical coding.

Reporting Structure: The Professional Coding Specialist I reports directly to the Manager of Provider Based Coding Analysis.

Work Arrangement: This role is primarily on-site, with the possibility of remote work available. The specific work arrangement may be discussed during the interview process.

Growth Opportunities:

  • Advancement to senior medical coding roles
  • Specialization in specific areas of medical coding (e.g., oncology, pediatrics)
  • Transition to related roles, such as healthcare data analysis or healthcare management

ASSUMPTION: WVU Medicine's large size and diverse range of specialties provide ample opportunities for career growth and professional development within the medical coding field.

🌍 Location & Work Environment

Office Type: The primary office location for this role is remote, with the possibility of on-site work at one of WVU Medicine's numerous facilities.

Office Location(s): Morgantown, WV (with the possibility of remote work)

Geographic Context:

  • Morgantown is located in north-central West Virginia and is the home of West Virginia University.
  • The city has a population of approximately 30,000 residents and offers a mix of urban and rural living.
  • Morgantown is situated along the Monongahela River and offers numerous outdoor recreation opportunities.

Work Schedule: The work schedule for this role is primarily Monday through Friday, with the possibility of overtime or on-call duties as needed.

ASSUMPTION: The remote work option for this role may provide greater flexibility and work-life balance for the right candidate.

πŸ’Ό Interview & Application Insights

Typical Process:

  • Online application submission
  • Phone or video screening
  • In-person or virtual interview with the hiring manager
  • Background check and reference verification
  • Job offer and onboarding

Key Assessment Areas:

  • Medical coding knowledge and skills
  • Attention to detail and accuracy
  • Communication and interpersonal skills
  • Problem-solving abilities
  • Adaptability and willingness to learn

Application Tips:

  • Highlight relevant medical coding experience and certifications
  • Demonstrate strong attention to detail and accuracy in your resume and cover letter
  • Showcase your communication and interpersonal skills through your application materials
  • Prepare for behavioral interview questions that focus on problem-solving and adaptability

ATS Keywords: Medical Coding, ICD-10, CPT, Documentation Review, Compliance, Reimbursement, Communication, Problem Solving, Attention to Detail, Decision Making, Time Management, Anatomy Knowledge, Physiology Knowledge, Medical Terminology, Quality Assurance, Provider Education

ASSUMPTION: WVU Medicine uses an Applicant Tracking System (ATS) to manage job applications, and including relevant keywords in your resume can help your application stand out.

πŸ› οΈ Tools & Technologies

  • Medical coding software (e.g., CAC, MediRegs, etc.)
  • Electronic health record (EHR) systems
  • Microsoft Office Suite (Word, Excel, etc.)
  • Internet access and email

ASSUMPTION: The specific tools and technologies used in this role may vary depending on the department and facility where the candidate is employed.

πŸ‘” Cultural Fit Considerations

Company Values:

  • Patient-centered care
  • Integrity and ethical behavior
  • Respect and dignity for all
  • Collaboration and teamwork
  • Excellence and continuous improvement

Work Style:

  • Attention to detail and accuracy
  • Strong communication and interpersonal skills
  • Problem-solving abilities
  • Adaptability and willingness to learn
  • Ability to work independently and in a team environment

Self-Assessment Questions:

  • Do you have a strong attention to detail and a commitment to accuracy in your work?
  • Are you able to communicate effectively with providers and other departments to obtain necessary information?
  • Do you have strong problem-solving abilities and a willingness to learn new skills and technologies?
  • Are you able to work independently and in a team environment, with a focus on collaboration and teamwork?

ASSUMPTION: WVU Medicine values candidates who demonstrate a strong commitment to patient-centered care, integrity, and collaboration in their work.

⚠️ Potential Challenges

  • High volume of work and tight deadlines
  • Complex medical terminology and concepts
  • Working with multiple providers and departments
  • Keeping up with changes in medical coding guidelines and regulations

ASSUMPTION: The potential challenges of this role can be mitigated through strong communication, attention to detail, and a commitment to continuous learning and professional development.

πŸ“ˆ Similar Roles Comparison

  • Compared to other medical coding roles, this position may have a higher volume of work and tighter deadlines due to its focus on provider-based coding analysis.
  • WVU Medicine's large size and diverse range of specialties provide ample opportunities for career growth and professional development within the medical coding field.
  • This role may offer more opportunities for collaboration and teamwork compared to other medical coding positions, as it involves working with multiple providers and departments.

ASSUMPTION: Candidates should research other medical coding roles and compare them to this position to determine which role best fits their career goals and preferences.

πŸ“ Sample Projects

  • Coding a complex medical record with multiple diagnoses and procedures
  • Performing an audit of provider documentation to ensure accurate coding and billing
  • Resolving issues related to missing charges and problem accounts through research and collaboration with providers and other departments

ASSUMPTION: These sample projects are intended to give candidates an idea of the types of tasks they may encounter in this role. The specific projects and responsibilities may vary depending on the department and facility where the candidate is employed.

❓ Key Questions to Ask During Interview

  • What are the most challenging aspects of this role, and how can I best prepare for them?
  • How does this role fit into the overall medical coding and billing process at WVU Medicine?
  • What opportunities are there for career growth and professional development within the medical coding field at WVU Medicine?
  • How does WVU Medicine support work-life balance for its employees?
  • What is the typical work schedule for this role, and how flexible is it?

ASSUMPTION: Asking thoughtful and relevant questions during the interview process can help candidates better understand the role and determine if it is the right fit for their career goals and preferences.

πŸ“Œ Next Steps for Applicants

To apply for this position:

  • Submit your application through this link
  • Customize your resume to highlight your relevant medical coding experience and certifications
  • Write a cover letter that demonstrates your attention to detail, communication skills, and enthusiasm for the role
  • Prepare for behavioral interview questions that focus on problem-solving, adaptability, and your commitment to patient-centered care
  • Follow up with the hiring manager one week after submitting your application to express your continued interest in the position

⚠️ This job description contains AI-assisted information. Details should be verified directly with the employer before making decisions.