West Virginia University MedicineHospital Coding Specialist II- Claim Edits Team West Virginia University MedicineHospital Coding Specialist II- Claim Edits TeamMonongalia County, WVReviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
West Virginia University MedicineHospital Coding Specialist II- Technology Auditor West Virginia University MedicineHospital Coding Specialist II- Technology AuditorLincoln County, WVReviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
West Virginia University MedicineCoding Auditor-Educator West Virginia University MedicineCoding Auditor-EducatorMonongalia County, WVCertification in ONE of the following: Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT) through American Health Information Management Association) Certified Outpatient Coder (COC) through American Academy of Professional Coders Certified Coding Specialist (CCS) through American Health Information Management Association Certified Professional Coder (CPC) through American Academy of Professional Coders. EXPERIENCE: Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the "Teaching Physician Guidelines" for Professional Coding Positions preferred.
West Virginia University MedicineHospital Coding Spec II West Virginia University MedicineHospital Coding Spec IIOhio County, WVCertification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), COC-A (Certified Outpatient Coder-Apprentice), COC (Certified Outpatient Coder), Formerly CPC-H (Certified Professional Coder-Hospital), CPC (Certified Professional Coder) or CIC (Certified Inpatient Coder). Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified.
Charleston Area Medical Center Health System IncMedical Records Coder 1 Charleston Area Medical Center Health System IncMedical Records Coder 1Charleston, WVEffectively utilize the APCpro features of 3M with the 3M encoder and grouper software to identify appropriate assign modifiers, make appropriate changes to charges, notify departments to make changes, identify missing documentation, and prepare the account as a clean claim for billing to the third party payer. Participate in the Coding Hotline by responding to callers+ needs for coding advice, identify callers needs that must be referred to a higher level of coding skill, and overall act as a liaison between coding and other departments that need coding services.
Canterbury CenterRecords Management Specialist Canterbury CenterRecords Management SpecialistShepherdstown, West VirginiaIn addition, you will be accountable for accurate and current diagnostic coding to ensure appropriate billing of patient care.*Maintain forms/office supplies inventory as well as the diagnosis list/sheet in the electronic system. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference.
CVS Health CorpNewClaim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, WV$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Charleston Area Medical Center Health System IncNewRegistered Nurse CDI Specialist Charleston Area Medical Center Health System IncRegistered Nurse CDI SpecialistCharleston, WVUtilizes clinical knowledge and coding guidelines to establish the appropriate diagnoses, reviews clinical reports and physician orders to identify undocumented conditions relative to the current hospitalization. Bachelor's Degree (Required) Experience: 5 - 7 YEARS Acute Care or Critical Care Nursing Experience SUBSTITUTION: Associate Degree in Nursing with 7-10 years Acute Care or Critical Care Nursing Experience.
Charleston Area Medical Center Health System IncNewPre-Certification Specialist Charleston Area Medical Center Health System IncPre-Certification SpecialistCharleston, WVThe employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department's identified patient ages. Correspond with medicare and various insurance companies to facilitate obtaining pertinent data on compliance, authorizations, verifications, progress notes, medical necessity guidelines and precertification and pre-authorization requirements.
CLFC Healthcare and CommunicationsHealth Information Management Specialist - Federal Prison Camp, Alderson WV CLFC Healthcare and CommunicationsHealth Information Management Specialist - Federal Prison Camp, Alderson WVAlderson, WV$45,000–$58,000CLFC Healthcare & Communications is seeking a Health Information Management Specialist to maintain medical records and health information systems at a federal prison camp in Alderson, West Virginia. CLFC Healthcare & Communications provides healthcare staffing and language access services to federal, state, and local government agencies nationwide.
Charleston Area Medical Center Health System IncPatient Accounts Resolution Specialist -- Patient Accounts -- General Hospital Charleston Area Medical Center Health System IncPatient Accounts Resolution Specialist -- Patient Accounts -- General HospitalCharleston, WVReview assigned work items daily to resolve "at risk, past due, and technical denial" claim issues Work with coding to resolve coding related denials Work with Utilization Review to resolve authorization related denials and appeals Use various payer web portals and DDE systems to obtain claim information that will help in resolution Contact payers by phone to resolve claim issues Contact Physician offices to obtain necessary information needed to resolve claims Manually and accurately resolve claims in Suspense (Medicare only) Ensure that medical records and itemized statement are submitted and received when requested by payers (work with contracted agencies as applicable) Follow proper workflow assigned by management Ensure accurate rebilling of claims to avoid denials Communicate billing errors that can be prevented to Department Manager, Supervisor, or Team Lead Communicate identified system related issue to Department Manager, Supervisor, or Team Lead Accurately, Professionally, and thoroughly document necessary information necessary to resolve outstanding balances in encounter timeline Ensure that result driven follow up is be accomplished and documented. Other duties as assigned Skills: Healthcare billing and collection knowledge Ability to interpret a payer explanation of benefit (EOB) Ability to identify and resolve claim issues Excellent communication and customers service skills Computer and keyboarding skills Knowledge of Microsoft software applications (Excel and Word) a plus Cerner knowledge a plus.
West Virginia University MedicineData Quality Specialist- Oncology West Virginia University MedicineData Quality Specialist- OncologyMorgantown, WVProvides and disseminates data and statistical information for research, education and outreach as well as assists with studies and audits for other service activities as requested by the Clinical Research Specialist/s, physicians and managers/ directors. Primary responsibility for accurate and concurrent data entry and management utilized for research, reporting, maintaining certifications, accreditations and quality improvement activities within Oncology Services.
West Virginia University MedicineInsurance Claims Specialist PB West Virginia University MedicineInsurance Claims Specialist PBMonongalia County, WVResponsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. Maintains knowledge of revenue cycle operations, third party reimbursement and medical terminology including all aspects of payer relations, claims adjudication, contractual claims processing, credit balance resolution and general reimbursement procedures.
West Virginia University MedicineInsurance Claims Specialist HB West Virginia University MedicineInsurance Claims Specialist HBMonongalia County, WVResponsible for managing patient account balances including accurate claim submission, compliance will all federal/state and third party billing regulations, timely follow-up, and assistance with denial management to ensure the financial viability of the WVU Medicine hospitals. Maintains knowledge of revenue cycle operations, third party reimbursement and medical terminology including all aspects of payer relations, claims adjudication, contractual claims processing, credit balance resolution and general reimbursement procedures.
Army National Guard of the United StatesNew68W Health Care Specialist Army National Guard of the United States68W Health Care SpecialistCharleston, WV$200–$250 / weekYou will address the health care needs of civilians after natural disasters or civil emergencies; treat injuries and illnesses suffered by Soldiers through the administration of immediate emergency care and ongoing care; and support and manage medical readiness, supplies, and equipment. Through your training, you will develop the skills and experience to enjoy a civilian career with civilian hospitals, clinics, nursing homes, or rehabilitation centers.
Army National Guard of the United StatesNew92Y Unit Supply Specialist - Warehouse Manager Army National Guard of the United States92Y Unit Supply Specialist - Warehouse ManagerWilliamstown, WV$200–$250 / weekThrough your training, you will develop the skills and experience to enjoy a civilian career as a stock control clerk, parts clerk, or storekeeper with factories, repair shops, department stores or government warehouses and stockrooms. You will: ensure that all documents are prepared and organized; maintain automated systems; secure and control weapons and ammunition; and schedule and provide maintenance for weapons.
West Virginia University MedicineNewOffice Support Dispatch Specialist (Night Shift) West Virginia University MedicineOffice Support Dispatch Specialist (Night Shift)MonEMS Home Office, WVEssential functions are regularly performed without exposure to adverse environmental conditions; performance of functions in the field may require exposure to adverse environmental conditions, such as dirt, dust, pollen, odors, wetness, humidity, rain, fumes, smoke, temperature and noise extremes, hazardous materials, fire, unsafe structures, heights, confined spaces, machinery, vibrations, electric currents, traffic hazards, bright/dim lights, toxic agents, human bites, explosives, water hazards, violence, disease, pathogenic substances, or rude/irate people. Tasks require the regular and, at times, sustained performance of moderately physically demanding work, typically involving some combination of climbing and balancing, stooping, kneeling, crouching, and crawling, and that may involve the lifting, carrying, pushing, and/or pulling of heavy objects and materials.
West Virginia University MedicineClinical Research Specialist West Virginia University MedicineClinical Research SpecialistMorgantown, WVMINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Associate's degree in nursing AND current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC). Possess a sound and in-depth understanding of each protocol that has been assigned as a primary responsibility and provides administrative and regulatory management of protocols and clinical trials ensuring compliance with WVU IRB, GCP guidelines and code of federal regulations.
Army National Guard of the United StatesNew92A Automated Logistical Specialist - Supply Chain Army National Guard of the United States92A Automated Logistical Specialist - Supply ChainMillwood, WV$200–$250 / weekMajor duties include: establishing and maintaining records (stock lists, inventory, material control, etc.), maintaining stock locator system and administering document control procedures, processing requests and turn-in documents, performing prescribed load-list and shop-stock list duties in manual and automated supply applications, and operating material-handling equipment. Age Requirements: Must be between the ages of 17 and 35 purchasing manager buyer purchasing agent CSCP APICS wholesale retail merchandise managers commercial clerk junior assistant CPM CPSM CPP CPPM CPPB CPPO.
West Virginia University MedicineNewCredit Balance Specialist-PB West Virginia University MedicineCredit Balance Specialist-PBMonongalia County, WVResolves credit balances identified through Epic work queues, an internal credit balance report, billing, cash posting, or payer or patient/guarantor request. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping, and feeling are necessary body movements utilized in preforming duties throughout the work shift.
West Virginia University MedicineCash Management Specialist West Virginia University MedicineCash Management SpecialistClarksburg, WVAnalyzes and reconciles posting amounts from patient payment and other sources of payment (non-accounts receivable (AR) cash) to the patient accounting system and accounting department. Identifies any unidentified payment transactions that route to the clearing account, following facility processes to move non-patient money to correct general ledger account.
Army National Guard of the United StatesNew68S Preventive Medicine Specialist Army National Guard of the United States68S Preventive Medicine SpecialistMartinsburg, WV$200–$250 / weekJob training for Preventive Medicine Specialists consists of 10 weeks of Basic Training, where you''ll learn basic Soldiering skills, and 15 weeks of Advanced Individual Training. Through your training, you will develop the skills and experience to enjoy a civilian career with privately owned research institutions, public health departments, and environmental sciences professions.
Fltr New JerseySpecialist-Auth Post Acute Sol Fltr New JerseySpecialist-Auth Post Acute SolWest Virginia$58,000–$62,000 / yearAs a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. *Serve as a liaison between various teams, including Business Development, Nursing Centers, and Revenue Cycle Management, fostering a collaborative environment.
Globus Medical, Inc.Associate Spine Specialist (Huntington, WV) Globus Medical, Inc.Associate Spine Specialist (Huntington, WV)Huntington, WVGains and consistently increases product knowledge through formal sales training; surgeon speaker programs, attends surgeries/operating room visits, and industry research. + Conducts sales calls to promote, sells, and services Globus Medical products and services to existing and competitive customers based on a strategic plan.
Syneos Health IncNewImmunology Specialist Syneos Health IncImmunology SpecialistCharleston, WVTogether we share insights, use the latest technologies and apply advanced business practices to speed our customers' delivery of important therapies to patients. Selecting us as an employer secures a career in which you're guaranteed to: Collaborate with passionate problem solvers Partner with the most diverse team of experts in the industry.
West Virginia Department of EducationNewSubstitute Residential Care Specialist West Virginia Department of EducationSubstitute Residential Care SpecialistRomney, WVWhile performing the duties of this job, the employee is frequently required to reach, stand, walk, lift, grasp, write, talk, hear, see, use technology such as computer and multimedia equipment, and use repetitive motions.??The employee may frequently lift and/or move at least 50-100 pounds.?He/she shall remain free of any alcohol or non-prescribed drugs while in the workplace.? Teaches and assists children with independent living skills such as personal hygiene, bathing, brushing teeth, hair care, dressing, bed making, and other life skills, e.g., choosing appropriate clothing for weather conditions.
ICLEnvironmental, Health, Safety & Security (EHSS) Specialist ICLEnvironmental, Health, Safety & Security (EHSS) SpecialistGallipolis Ferry, WV$69,000–$85,000 / yearDevelop and conduct employee training programs on all aspects of safety and health (e.g., PPE, respiratory protection, hazard communication, confined space, lockout/tagout, machine safety, fall protection, bloodborne pathogens, ergonomics, and heat stress prevention). As the Environmental, Health, Safety & Security (EHSS) Specialist, you will be responsible for implementing, maintaining, and continuously improving environmental, health, safety, security, and sustainability programs to ensure a safe, compliant, and responsible workplace.
Orrick Herrington & Sutcliffe LLPLegal Talent Specialist Orrick Herrington & Sutcliffe LLPLegal Talent SpecialistWheeling, West VirginiaWork closely with data analytics team members to run and update spreadsheets and compile data to generate and distribute confidential reports relating to associate and of counsel hours, compensation and bonuses. Oversee ramp credit, including applying ramp credit for secondments, reviewing monthly reports to flag any excess hours applied to ramp, and researching and correcting any ramp credit issues.
EnerSysContracts Specialist EnerSysContracts SpecialistWVThe Contracts Specialist is responsible for award administration, contract lifecycle from review to execution, compliance and negotiation for Aerospace & Defense and commercial markets associated with specialty batteries, development programs, and government-funded contracts within munitions. Education and/or Experience must include the following: Bachelor's Degree in Business, Engineering, Marketing or closely related discipline, or equivalent level of knowledge acquired through experience and/or other training.
West Virginia University MedicineNewHVI Research Regulatory Specialist West Virginia University MedicineHVI Research Regulatory SpecialistMorgantown, WVMINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Master's degree OR; Bachelor's degree AND Three years of experience in regulatory and research patient billing aspects of industry and government sponsored clinical trials including IRB application submissions OR; Associate's degree AND Five years of experience in regulatory and research patient billing aspects of industry and government sponsored clinical trials including IRB application submissions OR; High School Diploma or Equivalent AND Seven years of experience in regulatory and research patient billing aspects of industry and government sponsored clinical trials including IRB application submissions. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Obtain certification as a Research Professional through the Society of Clinical Research Associates (SoCRA) OR the Association of Clinical Research Professionals (ACRP) within two years of hire date preferred.
Form Energy IncStaff Project Safety Specialist Form Energy IncStaff Project Safety SpecialistWeirton, WVYou will ensure site-specific safety compliance, lead training, and manage emergency response protocols in collaboration/partnership with project execution teams, field operations, internal EHS and customer environmental compliance teams. Excellent communication, training, and presentation skills, with the ability to influence safety culture, manage diverse field teams and contractors, and strategically communicate complex technical hazards to non-technical stakeholders.
Truist Financial CorpClient Solutions Specialist I Truist Financial CorpClient Solutions Specialist ICharleston, WVGeneral Description of Available Benefits for Eligible Employees of Truist Financial Corporation: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of Truist offering the position. Achieve performance expectations for collection efforts for assigned accounts based upon individual goals and objectives, e.g., a minimum calls per day, contact percentage, promises/calls ratio, promises kept.
Truist Financial CorpAsset Disposition Specialist Truist Financial CorpAsset Disposition SpecialistCharleston, WVGeneral Description of Available Benefits for Eligible Employees of Truist Financial Corporation: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of Truist offering the position. Achieve performance expectations for collection efforts for assigned accounts based upon individual goals and objectives, e.g., a minimum calls per day, contact percentage, promises/calls ratio, promises kept.
O'Reilly Automotive IncParts Specialist O'Reilly Automotive IncParts SpecialistPrinceton, WVRequired: Ability to quickly match alphanumeric sequences • Required: Ability to provide outstanding, friendly and professional customer service • Required: Must be able to multitask, handling customers on the phone and in the store at the same time • Desired: Familiar with automotive parts, cataloging, weatherly index system, and automotive sales or service • Desired: ASE certification • Desired: Fluency in multiple languages (Spanish is highly desired). • Provide excellent service to customers calling the store on the phone by answering all calls according to company policy, accurately looking up parts and quote prices, recommending premium and related items, and offering the Low-Price Guarantee.
HealthfirstAppeals and Grievances Clinical Specialist HealthfirstAppeals and Grievances Clinical SpecialistWV$83,100–$120,360 / yearPosition Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. Prepare cases for Medical Director Review ensuring that all pertinent information (i.e. case summary, contract information, internal and external responses, diagnosis, and CPT codes and descriptions) has been obtained during investigation and is presented as part of the case.
O'Reilly Automotive IncRetail Service Specialist O'Reilly Automotive IncRetail Service Specialistparkersburg, WVSKILLS/EDUCATION/KNOWLEDGE/EXPERIENCE/ABILITIESRequired: Ability to quickly match alphanumeric sequencesAbility to provide outstanding, friendly and professional customer serviceMust be able to multitask, handling customers on the phone and in the store at the same timeDesired: Familiar with automotive parts, cataloging, weatherly index system, and automotive sales or serviceASE certificationFluency in multiple languages (Spanish is highly desired)O'Reilly Auto Parts has a proven track record of growth and stability. Provide excellent service to customers calling the store on the phone by answering all calls according to company policy, accurately looking up parts and quote prices, recommending premium and related items, and offering the Low-Price Guarantee.
Charleston Area Medical Center Health System IncMechanic Specialist Charleston Area Medical Center Health System IncMechanic SpecialistCharleston, WVBe knowledgeable about condensing and evaporating units, be experienced in control piping and electronic controls and thermostats, and accurately estimate amounts of air conditioning and heat required per square foot and repair piping and electrical components of HVAC systems. Use equipment analyzers for proper calibration; install, troubleshoot, and repair electronic and electrical equipment, and work with such items as nurse call systems, televisions and cable systems, fire alarms systems, computers, etc.
MaximusReporting Specialist MaximusReporting SpecialistMorgantown, WVFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.
Charleston Area Medical Center Health System IncNewTrauma Registrar Coder 1 Charleston Area Medical Center Health System IncTrauma Registrar Coder 1Charleston, WVThe employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department's identified patient ages. Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist.
CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)WV$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Glaukos CorpCornea Reimbursement Liaison Glaukos CorpCornea Reimbursement LiaisonCharleston, WVRemoteThis individual appropriately educates HCPs and their office staff on clinical documentation, securing treatment approvals, patient tracking, claim submission, reconciliation management, patient education, drug inventory, patient copay assistance and drug acquisition channels. Specific responsibilities include but are not limited to: Provides HCPs and their office staff education on how to interpret benefit verifications including PA requirements, calculation of patient cost share and drug acquisition options for specific patients enrolled in GPS.
Cabin Creek Health Systems IncClinical Support Assistant Cabin Creek Health Systems IncClinical Support Assistantcharleston, WV$13.50–$18.50 / hourQualifications - Skills and Abilities:To perform the Clinical Support Assistant position successfully, the employee must demonstrate core competencies in the following areas:Basic Medical Assisting skills including performing vital signs, assisting providers during examinations and procedures, administering injections, sterile technique and basic wound careAdministering nebulizer treatments and walking O2 saturation testingInterpreting medical provider orders and instructionsBasic knowledge of chronic diseases such as diabetes, asthma and depressionProper medical documentation skills including knowledge of ICD coding. Knowledge of CCHS scheduling guidelinesKnowledge of HIPAA regulations and patient privacy rulesGood time management skills; assisting in keeping on time with schedulesGood critical thinking and problem solving skills; good follow-throughProper medical documentation skills, including knowledge of ICD codingInterpreting medical provider orders and instructionsBasic Cardiac Life Support skillsAbility to react calmly and effectively in emergency situationsEducation and Experience:High School Graduate or GED.