WVU Medicine

Faculty Physician - Maternal-Fetal Medicine Specialist

WVU Medicine · Full Time · 21 hours ago

WVU Medicine

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The specialist will provide high-quality maternal-fetal medicine care, including managing high-risk pregnancies and performing prenatal diagnostics. Additionally, the role involves teaching and mentoring medical students, residents, and fellows within an academic clinical environment.

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Faculty Physician – Maternal-Fetal Medicine Specialist

WVU Medicine · Full Time · 21 hours ago

WVU Medicine

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The specialist will provide high-quality maternal-fetal medicine care, including managing high-risk pregnancies and performing prenatal diagnostics. Additionally, the role involves active participation in teaching and mentoring medical students, residents, and fellows within an academic setting.

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Lead Pharmacist

WVU Medicine · Full Time · a day ago

WVU Medicine

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The Lead Pharmacist is responsible for overseeing pharmacy operations and ensuring compliance with state board regulations. The role involves managing pharmacy staff and maintaining high standards of clinical service within the medical center.

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Coding Auditor-Educator

WVU Medicine · Full Time · 2 days ago

WVU Medicine

🌎 United States ⭐ 5-10 yrs exp 💼 Finance

The Coding Auditor-Educator is responsible for managing quality improvement audits, training coding staff, and ensuring accurate coding and DRG assignment. They act as an expert resource for clinical documentation, revenue cycle operations, and EMR data governance.

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Customer Service Representative

WVU Medicine · Full Time · 2 days ago

WVU Medicine

🌎 United States ⭐ 0-2 yrs exp 💼 Support

The representative is responsible for resolving patient billing concerns, managing collection procedures, and counseling patients on payment arrangements. They also perform data entry, handle third-party payer issues, and provide courteous assistance to patients.

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Patient Financial Clearance Specialist

WVU Medicine · Full Time · 2 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Finance

The specialist is responsible for verifying insurance benefits and producing accurate Good Faith Estimates for scheduled patients. They also manage work queues within the EPIC system to ensure compliance with the CMS No Surprises Act.

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Customer Service Representative

WVU Medicine · Full Time · 2 days ago

WVU Medicine

🌎 United States ⭐ 0-2 yrs exp 💼 Support

The representative is responsible for resolving patient billing concerns, managing collection procedures, and assisting patients with payment arrangements or charity assistance. They also perform data entry, communicate workflow issues to management, and handle patient inquiries with professionalism.

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Professional Coding Specialist III - Cardiothoracic Surgery

WVU Medicine · Full Time · 3 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The specialist is responsible for reviewing complex surgical documentation to assign accurate ICD-10, CPT, and HCPCS codes while collaborating with clinical staff to resolve documentation insufficiencies. They also monitor provider documentation, perform audits for coding accuracy, and assist in revenue cycle claim development.

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Professional Coding Specialist II - Outreach

WVU Medicine · Full Time · 3 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The specialist is responsible for accurately coding medical records to ensure compliance, appropriate reimbursement, and correct severity of illness documentation. They also perform audits, provide provider education, and resolve missing charges or problem accounts to facilitate the billing process.

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Employee Training Specialist

WVU Medicine · Full Time · 4 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Recruitment

This position is responsible for developing, designing, and conducting training programs for revenue cycle operations and patient access systems. It also involves monitoring quality, administering proficiency tests, and collaborating with IT on system upgrades.

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Physician Advisor

WVU Medicine · Full Time · 4 days ago

WVU Medicine

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The Physician Advisor will collaborate with medical staff and leadership to optimize hospital resource utilization, length of stay, and clinical effectiveness. They are responsible for ensuring compliance with regulatory standards and providing education to clinicians regarding appropriate care levels and documentation.

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Inpatient Pharmacy Technician

WVU Medicine · Full Time · 4 days ago

WVU Medicine

🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare

The pharmacy technician assists in drug distribution, preparation, and inventory management under the supervision of a pharmacist. They are responsible for accurately labeling medications, maintaining records, and communicating with patients regarding their prescriptions.

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Disease Management Coordinator

WVU Medicine · Full Time · 4 days ago

WVU Medicine

🌎 United States ⭐ 5-10 yrs exp 💼 Others

The Disease Management Coordinator collaborates with patients and providers to coordinate care, monitor health status, and implement individualized care plans. They also perform utilization management, risk stratification, and data-driven performance improvement to ensure quality and cost-effective healthcare transitions.

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Business Optimization Strategist - Power BI Developer

WVU Medicine · Full Time · 4 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The role involves designing and implementing analytical solutions using Power BI and SQL to drive strategic business decisions. It also requires managing project coordination, gathering requirements, and facilitating process improvements across the organization.

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HB-PB Coding Spec II

WVU Medicine · Full Time · 6 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Responsible for accurately assigning ICD-10 and CPT codes for various patient classes to ensure proper reimbursement and compliance. The role involves analyzing medical records, resolving missing charges, and collaborating with providers to improve documentation accuracy.

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Professional Coding Spec II - Outreach

WVU Medicine · Full Time · 6 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Responsible for accurately assigning ICD-10 and CPT codes to medical records to ensure proper reimbursement and compliance. The role involves auditing provider documentation and collaborating with physicians to resolve coding and billing issues.

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Professional Coding Specialist II - Anesthesia

WVU Medicine · Full Time · 6 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Responsible for accurately assigning ICD-10 and CPT codes for anesthesia services to ensure proper reimbursement and compliance. The role involves auditing provider documentation and collaborating with physicians to resolve coding and billing issues.

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Hospital Coding Specialist II - Cancer Center/Infusions

WVU Medicine · Full Time · 9 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The specialist is responsible for reviewing medical records to assign accurate ICD-10 and CPT codes for moderately complex patient classes. They ensure timely charging and abstraction to facilitate a clean billing process and maintain compliance with regulatory guidelines.

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Professional Coding Spec II - Anesthesia

WVU Medicine · Full Time · 9 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Reviews surgical and anesthesia documentation to assign accurate ICD-10, CPT, and HCPCS codes in compliance with national guidelines. Collaborates with medical personnel to resolve documentation insufficiencies and performs audits to ensure coding accuracy.

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Inpatient Hospital Coding Specialist III

WVU Medicine · Full Time · 10 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Responsible for accurately coding complex inpatient and interventional radiology medical records to ensure proper reimbursement and compliance. This includes assigning appropriate ICD-10 and CPT codes and ensuring correct MS-DRG assignments.

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Inpatient Hospital Coding Specialist II

WVU Medicine · Full Time · 10 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Responsible for assigning accurate ICD-10 and CPT codes for moderately complex patient classes to ensure proper reimbursement and compliance. This includes reviewing medical records and communicating with physicians to obtain necessary documentation for clean billing.

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Budget Analyst

WVU Medicine · Full Time · 10 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Coordinates operating budgeting and management reporting activities, including budget formulation and variance analysis. Manages budget software, develops financial reports, and collaborates with IT and Finance departments to support decision-making.

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Health Outcomes Pharmacist

WVU Medicine · Full Time · 11 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Health Outcomes Pharmacist optimizes medication use and improves health outcomes for members with chronic or complex conditions. This includes conducting medication reviews, supporting quality performance metrics like HEDIS and Star Ratings, and collaborating with interdisciplinary care teams.

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Hospital Coding Spec II - Emergency Department

WVU Medicine · Full Time · 12 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Responsible for assigning accurate ICD-10 and CPT codes for moderately complex patient classes, including Emergency Department and observation accounts. Ensures compliance with regulatory guidelines and collaborates with physicians to obtain necessary documentation for clean billing.

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Inpatient Hospital Coding Manager

WVU Medicine · Full Time · 13 days ago

WVU Medicine

🌎 United States ⭐ 5-10 yrs exp 💼 Others

This role manages the enterprise coding department to ensure financial viability and seamless coding processes across the organization. Responsibilities include leading coding teams, monitoring KPIs, and collaborating with leadership to optimize revenue cycle performance.

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Intake LPN Home Health and Hospice

WVU Medicine · Full Time · 16 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Intake LPN coordinates the transition of new patients into Home Health and Hospice services by managing referrals and insurance verification. They conduct initial assessments and collaborate with interdisciplinary teams to develop and implement individualized care plans.

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Operations Pharmacy Tech II

WVU Medicine · Full Time · 17 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Responsible for preparing, labeling, and delivering unit-dose and non-intravenous medications while maintaining accurate records for controlled substances. The role also involves managing pharmacy inventory and assisting in the training of Pharmacy Technician I staff.

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Hospital Coding Spec II-PBB Clinic

WVU Medicine · Full Time · 18 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The role involves reviewing and interpreting medical record documentation to assign appropriate codes for diagnoses and procedures. It also includes ensuring quality and timely coding and maintaining coding knowledge through continuous education.

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Clinical Revenue Cycle Educator

WVU Medicine · Full Time · 19 days ago

WVU Medicine

🌎 United States ⭐ 5-10 yrs exp 💼 Sales

Lead the design and delivery of systemwide training programs for CDI, coding, utilization review, and denial management. Develop educational content and provide case-based support to providers to improve documentation accuracy and financial performance.

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Tele-Radiology Physician - Diagnostic - Remote

WVU Medicine · Full Time · 19 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The physician will practice diagnostic radiology for WVU Medicine Community Hospitals. The role involves providing remote radiology services across West Virginia, Pennsylvania, and Ohio.

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Pharmacy Quality Specialist

WVU Medicine · Full Time · 20 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Collaborates with multidisciplinary teams to ensure quality pharmacy care, patient safety, and the development of programmatic improvements. Leads research projects in quality and safety while providing education to patients, providers, and students.

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HB-PB Coding Specialist II

WVU Medicine · Full Time · 20 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Responsible for assigning accurate ICD-10 and CPT codes for various patient classes to ensure proper reimbursement and compliance. The role involves auditing provider documentation and collaborating with physicians to resolve coding and billing issues.

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Centralized Scheduler

WVU Medicine · Full Time · 21 days ago

WVU Medicine

🌎 United States ⭐ 0-2 yrs exp 💼 Others

Responsible for scheduling, cancelling, and registering outpatient visits and procedures for multiple ambulatory clinics. This includes verifying patient information, managing referrals, and coordinating with referring physician offices.

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Pharmacy Quality Spec

WVU Medicine · Full Time · 23 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

Collaborates with multidisciplinary teams to ensure quality pharmacy care, patient safety, and adherence to clinical guidelines. Leads research projects and provides education to patients, providers, and students within the health system.

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SNP Social Worker-Peak

WVU Medicine · Full Time · 23 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The SNP Social Worker coordinates benefits and connects members with community resources while serving as a key member of the interdisciplinary care team. They perform behavioral health assessments and develop individualized care plans for members with complex psychosocial and economic needs.

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SNP Engagement Specialist

WVU Medicine · Full Time · 23 days ago

WVU Medicine

🌎 United States ⭐ 0-2 yrs exp 💼 Recruitment

The SNP Engagement Specialist coordinates care for members by facilitating transitions, scheduling wellness visits, and educating members on supplemental benefits. They act as a primary contact for D-SNP members to ensure engagement and compliance with CMS Model of Care expectations.

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Care Manager SNP- PEAK

WVU Medicine · Full Time · 23 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The Lead Care Manager provides coordination of care for SNP members by establishing individualized care plans and collaborating with Interdisciplinary Care Teams. They are responsible for ensuring compliance with CMS Model of Care expectations and NCQA standards while managing transitions of care.

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Inpatient Hospital Coding Specialist III

WVU Medicine · Full Time · 24 days ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Responsible for assigning accurate ICD-10 and CPT codes for complex inpatient and interventional radiology records to ensure proper reimbursement and compliance. The role involves reviewing medical documentation and collaborating with physicians to ensure data accuracy and timely billing.

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CDI Specialist I Inpatient

WVU Medicine · Full Time · a month ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Facilitates the improvement of clinical documentation quality to ensure accurate coding, severity of illness, and risk of mortality. Collaborates with providers to clarify diagnoses and provides ongoing education on documentation guidelines and compliance.

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Clinical Utilization Management Pharmacist

WVU Medicine · Full Time · a month ago

WVU Medicine

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

Perform drug utilization reviews for initial determinations and appeals across various lines of business, including Medicare Advantage. Serve as a subject matter expert for pharmacy utilization management and collaborate with medical directors on specialty medication consults.

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Data Engineer/Architect - MS Fabric

WVU Medicine · Full Time · a month ago

WVU Medicine

🌎 United States ⭐ 10+ yrs exp 💼 Software Development

Design and implement scalable data management and architecture strategies using Microsoft Fabric to align with healthcare business needs. Lead the development of enterprise analytics solutions, ensuring data integrity, security, and compliance with healthcare regulations.

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Clinical Denials Specialist

WVU Medicine · Full Time · 2 months ago

WVU Medicine

🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare

Manage accounts receivable related to denied claims by investigating denials and writing non-clinical appeals. Ensure financial viability and compliance with federal and state billing regulations while maintaining productivity standards.

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Insurance Authorization Specialist II

WVU Medicine · Full Time · 2 months ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Responsible for obtaining authorizations for elective procedures and services to ensure financial clearance for patients. This role involves reviewing clinical documentation, coordinating with insurance payors, and managing denials to minimize organizational write-offs.

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Payor Specialist- Weekends

WVU Medicine · Full Time · 2 months ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

Responsible for managing utilization review functions, including communicating clinical information to third-party payors to ensure hospitalization approval. The role involves documenting authorizations, processing denials, and liaising between clinical teams and insurance providers.

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Physician - Tele-Radiology, Fully Remote

WVU Medicine · Full Time · 2 months ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

The successful candidate will practice as a Tele-Radiologist providing services to WVU Medicine Community Hospitals. Responsibilities include interpreting radiological images remotely across West Virginia, Pennsylvania, and Ohio.

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Clinical Dietitian

WVU Medicine · Full Time · 2 months ago

WVU Medicine

🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare

Provide comprehensive medical nutrition therapy to a diverse patient population and document assessments and consults in medical records. Collaborate with medical teams to optimize patient care and supervise nutritional therapy support staff and interns.

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Benefits Configuration Analyst

WVU Medicine · Full Time · 2 months ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The role involves implementing, testing, and maintaining health insurance benefit plans and configurations to ensure regulatory compliance. It also requires analyzing medical billing codes and collaborating with IT to integrate these configurations into technology platforms.

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Physician, Tele-Radiology - Diagnostic

WVU Medicine · Full Time · 3 months ago

WVU Medicine

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The successful candidate will practice in the area of Radiology as a Tele-Radiologist. Responsibilities include providing diagnostic services to WVU Medicine community hospitals remotely.

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Physician, Tele-Radiology- Diagnostic

WVU Medicine · · 5 months ago

WVU Medicine

🌎 United States ⭐ 5-10 yrs exp 💼 Healthcare

The successful candidate will practice in the area of Diagnostic Radiology for the WVU Medicine Community Hospitals. This role is fully remote and offers additional earning opportunities.

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Business Intelligence Developer (Home-Based)

WVU Medicine · Full Time · 6 months ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

The role involves leading the design, innovation, and implementation of solutions to improve systems and processes by advocating for customer needs and identifying productivity opportunities. Core duties include maintaining a deep understanding of database structures and BI tools to create analytical solutions, serving as the first point of contact for data analytics, and performing data analysis to ensure accuracy and drive strategic business decisions.

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WVUH - Professional Coding Auditor-Educator

WVU Medicine · Full Time · 6 months ago

WVU Medicine

🌎 United States ⭐ 5-10 yrs exp 💼 Finance

This role is responsible for educating and training coding staff, overseeing auditing and education plans, performing quality audits, and providing ongoing feedback. The position also acts as an expert coding resource, manages quality improvement audits, and coordinates external audits.

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Hospital Coding Specialist III

WVU Medicine · Full Time · 6 months ago

WVU Medicine

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The Hospital Coding Specialist III is responsible for coding inpatient and interventional radiology cases, ensuring accurate documentation and compliance with coding guidelines. They must also maintain coding knowledge and communicate with physicians to obtain necessary information for accurate coding assignments.

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