[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 Cardiology coding. This position will be a work-from-home position working Monday through Friday during normal business hours.

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

• Assigning PQRS codes.
• 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.
• 3 years of physician coding experience in the applicable specialty.
• Cardiology coding experience is preferred.
• Graduate of an approved certified coding program preferred.
• Proficient computer skills with MS Excel knowledge preferred.

Requirements

• Licensure, Certifications, and Clearances:
• 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.