Coding Specialist III

Preston Memorial Hospital, located in beautiful Kingwood, WV, less than 30 miles from Morgantown, WV, is a rural hospital with vision, diversity, stability and a future.  At PMH, we have one simple mission:  To enhance the health of the communities we serve, one person at a time.  Our 300 plus dedicated and caring employees are encouraged to employ their talents and abilities to solve any challenge faced by our patients and the surrounding community.

While many hospitals, especially rural hospitals, are closing because of ever declining reimbursement for the services they provide, Preston Memorial Hospital continues to get stronger by offering new programs, new services, and operating more efficiently.  Besides providing excellent healthcare services, Preston Memorial also is a strong contributor to the county's economic status as it is the third largest employer in Preston County.

POSITION SUMMARY

The Coding Specialist III is responsible for providing medical coding services to ensure the Hospital may obtain appropriate and accurate reimbursement for healthcare claims. This position plays a vital role between medical providers, patients, and insurance companies by reviewing, analyzing, and coding diagnostic, procedural, and clinical information. The incumbent will ensure compliance with established coding guidelines, third party reimbursement policies, and regulations. The incumbent will primarily be responsible for outpatient and inpatient accounts working from appropriate documentation in the electronic health record utilizing provided encoder.  The position will also complete appropriate reports and participate in performance improvement projects. 

EDUCATIONAL REQUIREMENTS

o   High School (GED)

o   Preferred:

§  Associate's Degree

§  Certified Professional Coder (CPC), Certified Coding Associate (CCA) or similar.

§  Ability to obtain certification within 2 years of employment.

EXPERIENCE

o   Required:

§  Knowledge of ICD-10-CM

§  Knowledge of CPT coding

§  Knowledge of coding guidelines

§  Knowledge of LCDs, NCDs and other medical review policies applying to outpatient coding. 

§  2 plus years of coding experience

o   Preferred:

§  Knowledge of ICD-10-PCS