Offer summary

Qualifications:

Associates degree or higher in a relevant field., Minimum of 3 years coding experience, preferably in a physician office., Certification as a Certified Professional Coder (CPC) or equivalent is required., Proficient in Microsoft Office applications. .

Key responsibilities:

Assist with day-to-day coding and billing tasks, providing feedback on performance.

Monitor coding compliance and address areas of need.

Evaluate charge capture and coding workflows for efficiency improvements.

Provide education and support to clinical staff regarding documentation and coding guidelines.

Job description

*This will be a remote position, but must be willing to train for 2-3 weeks on site at the Pea Ridge Business Center in Huntington, WV*

Valley Health Systems is seeking a dedicated and detail-oriented Quality Coding Specialist to support our mission of providing high-quality, compassionate healthcare. This position plays a vital role in ensuring complete and accurate medical documentation and coding, optimizing workﬂows, and maintaining compliance with national and FQHC coding standards. This role is responsible for implementing documentation, coding, and billing improvements to drive eﬃciency and compliance while conducting audits of medical records and claims to ensure accuracy and adherence to regulations. Additionally, the Quality Coding Specialist performs coding and billing tasks for commercial and Medicare Advantage payors and collaborates with direct-care staff, medical coders/billers, and the quality team to ensure the correct interpretation and application of medical codes. This position is essential in maintaining high standards of care, ensuring our patients receive the best possible service while optimizing operational effectiveness.

Major Duties & Responsibilities: Job Skills

● Assists with day-to-day coding and billing tasks, reviewing supporting documentation and charge entry, providing feedback on the Health Center’s performance

● Monitors coding/billing and addresses areas of greatest need related to coding compliance

● Evaluates charge capture and coding workﬂows for maximum eﬃciencies, making recommendations as necessary

● Maintains a knowledge of coding changes and requirements

● Responsible for answering coding related questions from clinical staff

● Assists with education in-services for physicians, other providers, and clinical staff relating to documentation, coding, and charging guidelines

● Performs other duties as assigned

Required Skills/abilities

● Excellent verbal, organizational and written communications skills.

● Requires analytical skills, attention to detail, effective organization skills, ability to work in a fast-paced environment and ability to self-direct with minimal supervision.

● Proﬁcient in Microsoft Oﬃce (Word, Excel, Outlook)

Qualiﬁcation, Education, Experience

● Associates degree or higher

● Minimum of 3 years Coding experience preferably in a physician oﬃce

● Certiﬁcation as Certiﬁed Professional Coder (CPC), Certiﬁed Risk Adjustment Coder (CRC), Certiﬁed Coding Specialist (CCS), or Certiﬁed Coding Specialist Physician-Based (CCS-P) or a Certiﬁed Coding Associate (CCA) required

● Experience with Medicaid, Medicare and commercial claims ﬁlling

● Payor Value Based Care experience preferred

● FQHC Experience preferred

● Epic experience preferred

Required profile