Medical Coding Services (Inpatient & Outpatient)

This subcontract for the state of West Virginia involves providing professional medical coding services for inpatient, outpatient, general acute, and psychiatric records on Office of Health Facilities projects. The selected provider will be responsible for assigning diagnosis and procedure codes in accordance with UHDDS guidelines, NUBC specifications, and medical encoder standards. Key deliverables include the submission of coded medical records and the production of monthly audit reports. To ensure quality and compliance, the contractor must conduct annual internal audits on a random sample of 5 percent of records and provide detailed rationales for coding accuracy during the appeals process. All staff must hold certifications from AHIMA or AAPC, and the provider must maintain strict HIPAA compliance. The work is to be performed in Charleston, West Virginia, under NAICS code 621999.