Top 61 Medical billers & coders Jobs in West Virginia

Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —West Virginia
- $43,888 - $93,574 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
Medical Records Coder 1 -- Coding & Data Registry -- Document Center Building
Mon Health —Charleston, WV
- Overtime
- Surgery
- No experience needed
- Mid-level
Trauma Registrar Coder 1 -- Trauma Center -- General Hospital
Mon Health —Charleston, WV
- Overtime
- Hybrid work
- Hospital
- Customer service
- No experience needed
Medical Records Coder 1 -- Coding & Data Registry -- Document Center Building
CAMC Health System —Charleston, WV
- Overtime
- Surgery
- No experience needed
- Mid-level
Certified Coder - Marshall Internal Medicine
Marshall Health —Huntington, WV
- Full-time
- Internal Medicine
- Mid-level
- High school diploma or GED
7d
Coding Specialist III -- HEALTH INFORMATION MGMT -- 99 J D Anderson
Mon Health —Morgantown, WV
- Full-time
- Anatomy knowledge
- Hospital
- Mid-level
Trauma Registrar Coder 1 -- Trauma Center -- General Hospital
CAMC Health System —Charleston, WV
- Overtime
- Hybrid work
- Hospital
- Customer service
- No experience needed
10d
Certified Coder - Marshall Pediatrics
Marshall Health —Huntington, WV
- Full-time
- Mid-level
- High school diploma or GED
- Pediatrics
Coder - Medical Records
BOONE MEMORIAL HOSPITAL INC —Madison, WV
- Per diem
- Anatomy knowledge
- Computer literacy
- Clinic experience
Quick Apply
Patient Billing Representative
Five Star Call Centers —Charleston, WV
- $14 an hour
- Full-time
- Remote
- Background check
- HIPAA
- English
- Paid training
1d
Revenue Cycle Support Specialist
SYSTEM West Virginia University Health System —Morgantown, WV
- Full-time
- Microsoft Outlook
- HIPAA
- Office
Patient Account Representative (Full Time) - 8219
St. Mary's Medical Center Inc —Huntington, WV
- Full-time
- Hospital
- Writing skills
- Basic math
14d
Patient Accounting Representative - Marshall Internal Medicine
Marshall Health —Huntington, WV
- Full-time
- Internal Medicine
- High school diploma or GED
- Data entry
Patient Accounts Rep -- Patient Accounts -- General Hospital
CAMC Health System —Charleston, WV
- Overtime
- Hospital
- No experience needed
- High school diploma or GED
Medical Billing Specialist
Generations Physical Therapy —Hurricane, WV
- $15 - $18 an hour
- Full-time
- Mid-level
- US work authorization
- Computer skills
- Health insurance
- Dental insurance
Quick Apply
Insurance Claims Representative -- PATIENT FINANCIAL SERVICES -- Hartman Run Road
Mon Health —Morgantown, WV
- Full-time
- Hospital
- BLS Certification
- High school diploma or GED
Insurance Claims Representative -- BUSINESS OFFICE -- Webster Memorial Hospital
Mon Health —Webster Springs, WV
- Full-time
- Hospital
- High school diploma or GED
- 1 year
Billing Clerk
Logan Mingo Area Mental —Logan, WV
- Full-time
- Computer literacy
- Office
- Administrative experience
Quick Apply
3d
Pharmacy Business Coordinator - Home Infusion (Billing and Revenue Cycle)
WVUH West Virginia University Hospitals —Morgantown, WV
- Full-time
- Writing skills
- Mid-level
- Finance
- Employee discount
Billing Specialist
FamilyCare Health Centers —Scott Depot, WV
- Full-time
- Ability to walk for extended periods
- Office
- High school diploma or GED
Quick Apply

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Certified Professional Coder, Special Investigations Unit (Aetna SIU)

CVS Health -
West Virginia

Apply Now

Job Details

Full-time
$43,888 - $93,574 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Microsoft Excel
Word embeddings
Research
High school diploma or GED
Certified Professional Coder
Productivity software
Clinical documentation standards
Documentation review

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.

Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation.
Provide detailed written summary of medical record review findings.
Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc.
Research and accurately apply state or CMS guidelines related to the audit with minimal support.
Review and discuss cases with Medical Directors to validate decisions.
Assist with investigative research related to coding questions, state and federal policies.
Identify potential billing errors, abuse, and fraud.
Identify opportunities for savings related to potential cases which may warrant a prepayment review.
Maintain appropriate records, files, documentation, etc.
Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement.

Required Qualifications

AAPC Certified Professional Coder Certification (CPC)
3+ years of experience in medical coding or documentation auditing.
Knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements
Experience with researching coding and policies.
Experience with Microsoft products, specifically Excel and Word

Preferred Qualifications

CPMA
Strong attention to detail and ability to review and interpret data.
Demonstrates strong communication skills.
Prior payor auditing experience
Excellent communication skills
Excellent analytical skills
Two years or more previous experience with Behavioral Health coding/auditing of records

Education

GED or equivalent
AAPC Certified Professional Coder Certification (CPC)

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $93,574.00

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. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/28/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

medical billers & coders jobs in west virginia

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

Medical Records Coder 1 -- Coding & Data Registry -- Document Center Building

Trauma Registrar Coder 1 -- Trauma Center -- General Hospital

Medical Records Coder 1 -- Coding & Data Registry -- Document Center Building

Certified Coder - Marshall Internal Medicine

Coding Specialist III -- HEALTH INFORMATION MGMT -- 99 J D Anderson

Trauma Registrar Coder 1 -- Trauma Center -- General Hospital

Certified Coder - Marshall Pediatrics

Coder - Medical Records

Patient Billing Representative

Revenue Cycle Support Specialist

Patient Account Representative (Full Time) - 8219

Patient Accounting Representative - Marshall Internal Medicine

Patient Accounts Rep -- Patient Accounts -- General Hospital

Medical Billing Specialist

Insurance Claims Representative -- PATIENT FINANCIAL SERVICES -- Hartman Run Road

Insurance Claims Representative -- BUSINESS OFFICE -- Webster Memorial Hospital

Billing Clerk

Pharmacy Business Coordinator - Home Infusion (Billing and Revenue Cycle)

Billing Specialist

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