[Hiring] Certified Professional Coder @UPMC

Role Description

UPMC Corporate Revenue Cycle is hiring a Certified Professional Coder to join our coding team to work on surgical coding. This position will be a work-from-home position working Monday through Friday during normal business hours. To be considered for this position, you must have three years of coding experience.

In this role, you will have the same responsibilities as Coder II, but also be responsible for:

• Assigning PQRS codes and assisting in the development of templates and processes to obtain the appropriate documentation.
• Providing feedback to the physicians on coding, documentation, edit, and denial issues.

Responsibilities include:

• Identifying incomplete documentation in the medical record and formulating a physician query to obtain missing documentation and/or clarification.
• Providing education to physicians to accurately complete the coding process.
• Referring problem accounts to appropriate coding or management personnel for resolution.
• Making forward progress within the training period toward meeting coding accuracy standards of the departments within the first year of employment.
• Meeting appropriate coding productivity standards within the time frame established by management staff.
• Providing training on code selection for new and existing staff.
• Investigating and resolving reimbursement issues, including denials, in a timely manner per department standards.
• Utilizing standard coding guidelines, principles, and coding clinics to assign the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement.
• Reviewing coding for accuracy and completeness prior to submission to billing system utilizing CCI edits.
• Utilizing the ACEP acuity level guidelines for assigning the correct acuity level for ED coding.
• Completing work assignments in a timely manner and understanding the workflow of the department.
• Maintaining daily productivity statistics and submitting a weekly productivity sheet to management.
• Being a resource to other coding staff.
• Utilizing computer applications and resources essential to completing the coding process efficiently.
• Adhering to internal and system-wide competencies, behaviors, policies, and procedures to ensure efficient work processes.
• Actively participating in monthly coding meetings and sharing ideas and suggestions for operational improvements.
• Maintaining continuing education by reviewing updated CPT assistant guidelines and updated coding clinics.
• Working with department management on coding interface, development, enhancements, and changes, as well as implementation of those functions.
• Leading, participating in, and/or assisting with departmental coding audits.

Qualifications

• High school graduate or equivalent.
• Three years physician coding experience in the applicable specialty.
• Graduate of an approved certified coding program preferred.
• Proficient computer skills with MS Excel knowledge preferred.

Requirements

• Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) OR Certified Coding Specialist - Physician Based (CCS-P) required.
• Certified Coding Specialist (CCS) OR Certified Coding Specialist - Physician-Based (CCS-P) OR Certified Professional Coder (CPC) OR Nationally Registered Certified Coding Specialist (NRCCS) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT).
• Act 34.

Company Description

UPMC is an Equal Opportunity Employer/Disability/Veteran.