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WVU Medicine
WVU Medicine
HealthcareHealthcare Insurance
WVU Medicine is a comprehensive healthcare system affiliated with West Virginia University, serving communities throughout West Virginia through hospitals and regional medical centers. Its network includes J.W. Ruby Memorial Hospital and WVU Medicine Children’s, with services spanning routine care, specialty medicine, and advanced treatments such as robotic heart surgery. Alongside patient care, WVU Medicine supports medical education, clinical research, and community health initiatives, offering opportunities across a large healthcare organization.
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Coding Auditor and Educator

WVU Medicine’s Professional Coding Auditor-Educator trains coding staff and leads quality audits. The role supports accurate coding, regulatory compliance, staff development, and electronic medical record data governance.

USUnited StatesRemoteFull-timeMiddleSeniorEnglish RequiredAuditor

Description

  • Train WVU Healthcare coding staff under the direction of Coding Managers
  • Oversee coding audits and education plans, and conduct quality reviews with ongoing feedback
  • Apply ICD-10-CM, ICD-10-PCS, CPT, and related references and software to support accurate coding and MS-DRG, HCC, and APR-DRG assignment
  • Manage training for designated coding personnel, track their development, and report progress
  • Lead quality improvement audits and training for assigned coding staff
  • Provide coding expertise to coders, clinical documentation improvement teams, providers, revenue cycle staff, specialty groups, and meetings
  • Serve as a super user for coding-related electronic medical record systems and support EMR data governance
  • Maintain policies, procedures, work queues, and training materials
  • Communicate with coding staff, medical staff, the Physician Advisor, department chairs, and department administrators
  • Plan, facilitate, conduct, track, analyze trends in, and report internal quality reviews
  • Develop and use audit tools to monitor coding accuracy, documentation gaps, and billing
  • Coordinate external agency audits, including data collection, exit conferences, and final reports
  • Coordinate coding and documentation denial reviews and help prepare appeal letters
  • Report coding, documentation, audit, and activity issues to Coding Leadership
  • Follow through on audit recommendations, including coder education, coding changes, and rebills
  • Extract and analyze data, and develop action plans as needed
  • Help onboard new Coding Specialists
  • Keep Coding Specialists informed about compliance and regulatory changes
  • Stay current on coding updates, state and federal regulations, and coding resources
  • Develop curriculum for the WVU Healthcare Coding Certificate Program and assist with special EMR data governance projects as needed
  • Use curriculum and course systems, administer exams, and support the testing and installation of system upgrades.
  • Use curriculum and course systems, administer exams, and support the testing and installation of system upgrades

Requirements

  • Graduate of a Health Information Technology (HIT) or equivalent program plus five years of coding experience; or graduate of a Medical Coding Certification Program plus five years of coding experience; or a high school diploma or equivalent plus eight years of coding experience
  • Hold one of these certifications: RHIA, RHIT, COC, CCS, or CPC
  • Preferred: extensive experience with ICD-10-CM, ICD-10-PCS, CPT, MS-DRG, HCC, and APR-DRG assignment; multispecialty, E&M, and procedural or surgical coding; and government billing and coding regulations
  • Previous supervisory or project management experience preferred
  • Strong written, verbal, and interpersonal communication skills
  • Knowledge of healthcare compliance, revenue cycle operations, and auditing methods
  • Ability to mentor, educate, and train others
  • Ability to meet quality and productivity standards
  • Ability to manage high-stress and critical situations calmly and professionally
  • Ability to maintain accuracy amid frequent interruptions
  • Sound independent decision-making skills
  • Ability to prioritize duties and adapt to workplace changes
  • Strong organizational and time management skills
  • Knowledge of anatomy, physiology, and medical terminology
  • Analytical and problem-solving ability
  • Proficiency with office software, medical record systems, and billing systems
  • Ability to analyze complex data and reports
  • Ability to sit for extended periods, use computers and office equipment, and lift, push, or pull 10–20 pounds
  • Travel may be required

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