by Terrance Ellis | Jul 18, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
The West Virginia University Health System is hiring a Reimbursement Analyst to focus on audit and regulatory functions. This full-time, fully remote role is ideal for finance professionals who thrive on data accuracy, compliance, and strategic cost analysis. You’ll manage Medicare/Medicaid cost reports, coordinate audits, and ensure financial integrity across multiple departments.
✅ Position Highlights
• Schedule: Full-Time (40 hours/week)
• Location: Remote (U.S.-based only)
• Employment Type: Exempt
• Department: System Finance & Reimbursement
• Pay: Not listed
• Company: WVU Health System
📋 What You’ll Own
• Prepare and amend third-party cost reports (Medicare, Medicaid, CHAMPUS)
• Coordinate audits and collect accurate financial data across departments
• Analyze complex data sets to ensure accuracy and consistency
• Maintain and update cost reporting software
• Build and monitor reimbursement budget models aligned with regulations
• Track interim rates, settlements, and third-party receivables
• Handle Medicaid DSH surveys and associated audits
• Perform monthly contractual reserve analyses and journal entries
• Manage wage index reporting, occupational mix surveys, and Medicare responses
• Contribute to cross-functional planning and improvement projects
🎯 Must-Have Traits
• Bachelor’s degree in Accounting, Finance, or Business Administration
• 3+ years of experience in finance or accounting
• Advanced analytical skills and high attention to detail
• Proficient in Excel and financial software systems
• Strong communication skills for audit coordination and team interaction
• Comfortable working independently in a remote environment
• Knowledge of federal and state reimbursement rules preferred
💻 Remote Requirements
• Quiet, distraction-free home office
• Reliable internet and ability to work full days on a computer
• Strong written and verbal communication for audit-heavy documentation
💡 Why It’s a Win for Remote Job Seekers
• 100% remote position with stable full-time hours
• Contribute to the financial backbone of a respected health system
• No commute, flexible environment, and meaningful analytical work
• Be part of a team managing reimbursement across more than 20 hospitals
✍️ Call to Action
If you’re a detail-driven finance professional who understands the importance of regulatory compliance and cost accuracy, step into a role where your work truly matters. Apply now and help WVU Medicine strengthen its financial operations from anywhere in the U.S.
by Terrance Ellis | Jul 18, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
WVU Medicine is hiring Certified Oncology Data Specialists to ensure the accurate abstraction, coding, and reporting of oncology cases for cancer registry compliance and research. This part-time, remote role is ideal for detail-focused professionals who thrive on precision and want to support cancer care from behind the scenes.
✅ Position Highlights
• Schedule: Part-Time (8–20 hours/week)
• Location: Remote (U.S.-based only)
• Employment Type: Non-Exempt
• Pay: Not specified
• Flexibility: HIPAA-compliant home setup required
• Perks: Flexible hours, mission-driven environment, remote convenience
📋 What You’ll Own
• Identify and document all reportable tumors and malignancies
• Apply AJCC TNM staging and standardized coding protocols (SEER, STORE, ICD-O)
• Perform data abstraction and maintain case accuracy
• Conduct follow-up on cancer recurrence, outcomes, and survival
• Participate in audits, special studies, and cancer program compliance
• Generate analytical reports to support cancer research and trend tracking
• Attend Cancer Committee meetings and support accreditation efforts
• Maintain required CE credits and uphold credential compliance
🎯 Must-Have Traits
• Associate degree (required)
• Active Certified Oncology Data Specialist (ODS-C) credential
• 3+ years of experience in case finding, abstracting, and follow-up in a hospital setting
• Strong understanding of SEER, AJCC staging, NCCN guidelines, and Solid Tumor Rules
• High accuracy in data collection, coding, and clinical interpretation
• Proficient in cancer registry platforms and EMR systems
• Self-motivated and able to work independently in a remote environment
• Excellent communication and analytical skills
💻 Remote Requirements
• HIPAA-compliant home office
• Wired high-speed internet
• Ability to sit for long periods and perform light lifting (10–20 lbs)
• Strong digital literacy and comfort with EMRs and registry systems
💡 Why It’s a Win for Remote Job Seekers
• Join West Virginia’s largest and most respected health system
• Flexible hours that work with your schedule
• Support meaningful cancer research and patient care from anywhere
• Be part of a team that values accuracy, integrity, and long-term impact
✍️ Call to Action
If you’re a certified oncology data expert who thrives on accuracy and is ready to help shape the future of cancer care, apply now to join WVU Medicine’s Cancer Registry and contribute to a mission-driven team making a difference.
by Terrance Ellis | Jul 18, 2025 | Uncategorized
(Remote – U.S., Part-Time)
🧾 About the Role
WVU Medicine is hiring a Certified Oncology Data Specialist (ODS-C) to manage and maintain cancer registry data with precision and care. This part-time, fully remote role contributes directly to cancer research, quality reporting, and compliance. You’ll abstract data, assign codes and staging, track outcomes, and support cancer program standards—all from your home office.
✅ Position Highlights
• Schedule: 20 hours/week
• Employment Type: Part-Time
• Location: Remote (U.S.-based)
• Department: Oncology Cancer Registry
• Employer: WVU Hospitals
• Req ID: JR24-38891
• Posted: 9 days ago
📋 What You’ll Own
• Identify and document all reportable tumors per hospital, state, and CoC guidelines
• Abstract cases using EMRs, pathology reports, labs, surgical records, and genetics
• Apply accurate coding and staging (AJCC TNM, STORE, SEER, ICD-O)
• Maintain quality benchmark (90%+) and meet productivity standards
• Track and update recurrence, survival, and long-term outcomes
• Conduct peer reviews and audits to ensure data integrity
• Monitor compliance with CoC metrics and accreditation documentation
• Generate research and statistical reports on volume, treatment, and outcomes
• Participate in committee meetings and special studies
• Stay current through continuing education to maintain ODS-C certification
🎯 Must-Have Traits
• Associate degree
• Active ODS-C certification with current CE compliance
• Strong knowledge of cancer staging, registry platforms, and clinical terminology
• Proficiency in EMRs and cancer registry software
• Highly organized with strong attention to detail
• Strong analytical and time management skills
• Familiarity with AJCC, SEER, NCCN, STORE, and SSDI requirements
• Experience conducting quality reviews and audits
💻 Remote Requirements
• HIPAA-compliant home workspace
• Reliable wired high-speed internet
• Comfort working independently with secure clinical datasets
• Proficient in virtual tools and documentation software
💡 Why It’s a Win for Specialized Remote Coders
• Help power national cancer research and reporting efforts
• Flexible schedule that fits your life
• Join the largest healthcare system in West Virginia
• Contribute to high-impact work from the comfort of your home
✍️ Call to Action
If you’re a detail-obsessed, certified oncology data pro ready to apply your skills to meaningful work—this role is for you. Apply now to join WVU Medicine’s Oncology Registry team and play a key role in advancing cancer care behind the scenes.
by Terrance Ellis | Jul 18, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
WVU Medicine is hiring a Professional Coding Specialist II to ensure accurate, compliant medical coding across both inpatient and outpatient settings. This remote, full-time role plays a key part in maintaining documentation integrity, supporting audit efforts, and maximizing reimbursement. You’ll review medical records, apply proper codes, and collaborate with providers to resolve discrepancies—all from your home office.
✅ Position Highlights
• Schedule: 40 hours/week
• Employment Type: Full-Time
• Location: Remote (U.S.-based)
• Department: HIM Provider-Based Coding
• Status: Non-Exempt (hourly)
• Req ID: JR24-38344
• Posted: 8 days ago
📋 What You’ll Own
• Assign CPT, ICD-10, and modifiers accurately based on provider documentation
• Review both inpatient and outpatient medical records for coding accuracy
• Maintain workflow related to coding, charge capture, and data abstraction
• Deliver education to providers and staff around coding practices
• Audit documentation and support claims review
• Resolve documentation discrepancies with physicians and office staff
• Track productivity metrics and maintain quality standards
• Stay current with coding guidelines through workshops and ongoing training
🎯 Must-Have Traits
• High School Diploma or GED
• Associate degree in Health Information Management or related field
• One of the following certifications (required):
– RHIT (Registered Health Information Technician)
– RHIA (Registered Health Information Administrator)
– CCS (Certified Coding Specialist)
– CCS-P or CPC (Certified Professional Coder)
• At least 2 years of coding experience (physician office coding preferred)
• Strong grasp of medical terminology, anatomy, and physiology
• High attention to detail and excellent communication skills
💻 Remote Requirements
• Reliable high-speed internet
• Dedicated, HIPAA-compliant home workspace
• Able to work independently and manage time effectively
💡 Why It’s a Win for Coders Seeking Stability
• Fully remote position with a respected healthcare system
• Join West Virginia’s largest private employer with room for advancement
• Be part of a mission-driven team prioritizing accuracy and learning
• Contribute directly to documentation integrity and financial health
✍️ Call to Action
If you’re a credentialed coding professional ready to make a difference from anywhere, apply now to join WVU Medicine and bring precision, purpose, and impact to your next chapter.
by Terrance Ellis | Jul 18, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
WVU Medicine is seeking a Clinical Denial Coordinator to manage and lead appeals for denied medical claims. This full-time, remote role combines clinical expertise with sharp analytical and writing skills to recover revenue and improve internal processes. You’ll work across teams to craft appeal letters, investigate payer denials, and champion system-wide improvements in documentation and billing accuracy.
✅ Position Highlights
• Schedule: 40 hours/week
• Employment Type: Full-Time
• Location: Remote (U.S.-based)
• Department: Clinical Denial Management
• Status: Exempt (salaried)
• Req ID: JR25-10925
• Posted: 9 days ago
📋 What You’ll Own
• Draft compelling appeals for denials from RAC, Medicaid RAC, and other payers
• Review patient records to ensure billing accuracy and proper documentation
• Identify and correct under- or over-billed charges
• Collaborate with auditors using supporting clinical evidence to resolve disputes
• Track, enter, and analyze denial correspondence
• Partner with Case Management, Access, and providers for appeals support
• Lead training and educational sessions around denial trends
• Recommend solutions based on root cause analysis
• Maintain and distribute regular denial reports
🎯 Must-Have Traits
• Active RN license (state-based or compact via eNLC)
• At least 3 years of clinical healthcare experience
• Familiarity with payer guidelines, medical necessity rules, and CPT/LCD/NCD coding
• Strong clinical judgment and attention to detail
• Excellent written communication and persuasive appeal writing
• Independent worker with strong negotiation skills
💻 Remote Requirements
• Reliable high-speed internet
• Private, secure home office setup
• Able to manage PHI in full compliance with HIPAA
💡 Why It’s a Win for Remote RNs with Auditing or Appeals Experience
• Leverage your clinical knowledge without bedside demands
• Support patient care and hospital revenue integrity from home
• Work with the largest healthcare system in West Virginia
• Be part of a team focused on precision, compliance, and improvement
• Make a direct impact on reimbursement outcomes and operational success
✍️ Call to Action
If you’re an RN with a keen eye, a way with words, and a passion for doing right by patients and providers, this is your lane. Apply now to join WVU Medicine as a Clinical Denial Coordinator and take ownership of getting claims right.
by Terrance Ellis | Jul 18, 2025 | Uncategorized
(Remote – U.S.)
🧾 About the Role
WVU Medicine is hiring a Remote Insurance Claims Specialist (Hospital Billing) to manage account balances, ensure claims are submitted accurately and on time, and resolve billing issues. You’ll support a smooth, compliant revenue cycle while delivering excellent service and keeping hospital financials on track.
✅ Position Highlights
• Schedule: 40 hours/week
• Employment Type: Full-Time
• Location: Remote (U.S.-based)
• Department: Patient Financial Services
• Work Environment: Remote, office-style
• Status: Non-exempt (eligible for overtime)
📋 What You’ll Own
• Submit timely, accurate claims to third-party payers
• Resolve billing edits and account errors
• Track and follow up on unpaid claims using web tools and payer portals
• Investigate and support resolution of denials
• Maintain compliance with HIPAA and PHI standards
• Reconcile billing transactions and complete required reports
• Prioritize daily tasks to maintain high efficiency
• Deliver strong customer service to patients and internal stakeholders
• Contribute to performance improvement initiatives
• Attend virtual meetings and ongoing training
🎯 Must-Have Traits
• High School Diploma or equivalent
• 1+ year in medical billing or medical office preferred
• Strong written and verbal communication
• Familiar with medical billing systems and medical coding terms
• Knowledge of ICD-10, CPT codes, and payer policy (preferred)
• Customer service-focused with good phone etiquette
• Able to multitask, prioritize, and meet deadlines
• Proficient with computers, email, and basic office software
💻 Remote Requirements
• Quiet, reliable home office setup
• Ability to work independently for long stretches
• Clear communication via phone, email, and video
💡 Why It’s a Win for Healthcare Billing Professionals
• Join one of the largest and most respected healthcare systems in West Virginia
• Work from home while impacting hospital revenue health
• Help patients by ensuring billing clarity and payer follow-through
• Gain access to learning and career development opportunities
✍️ Call to Action
Ready to bring precision and service to a vital part of hospital operations? Apply now to join WVU Medicine as an Insurance Claims Specialist and make your mark in healthcare billing from the comfort of home.
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