[Hiring] Coder I @UPMC

Role Description

UPMC Corporate Revenue Cycle is hiring a Coder I- Profee to join our Coding Department! This will be a work-from-home position working Monday through Friday during business hours.

In this role, you will:

• Assign ICD and limited CPT codes.
• Review physician documentation to determine appropriate ICD-10 code and verify CPT code.
• Resolve basic coding edits.
• Complete the charging process.
• Ensure diagnosis codes meet local medical necessity guidelines for ancillary tests ordered.
• Utilize coding resources (CCI edits, 3M, ICD and CPT Publications) to ensure accurate coding.

Responsibilities:

• Utilize standard coding guidelines and principles to assign appropriate ICD and CPT codes for all records.
• Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits.
• Complete work assignments in a timely manner and understand the workflow of the department.
• Maintain daily productivity statistics and submit a weekly productivity sheet to management.
• Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification.
• Utilize computer applications and resources essential to completing the coding process and resolving basic coding edits efficiently.
• Refer problem accounts to appropriate coding or management personnel for resolution.
• Meet and maintain charge lag and coding productivity standards within the time frame established by management staff.
• Adhere to internal and system-wide competencies, behaviors, policies, and procedures.
• Actively participate in monthly coding meetings and share ideas for operational improvements.
• Maintain continuing education by reviewing updated CPT assistant guidelines and coding clinics.
• Make forward progress within the training period toward meeting coding accuracy standards within the first year of employment.
• Meet appropriate coding productivity standards within the time frame established by management.

Qualifications

• High school graduate or equivalent.
• Graduate of an approved certified coding program preferred with a curriculum that includes Anatomy and Physiology, Medical Terminology, ICD-10-CM, and CPT Coding Guidelines and Procedures.
• Proficient computer skills with MS Excel knowledge preferred.
• In lieu of completed coding externship, 6 months experience.

Requirements

• Licensure, Certifications, and Clearances: Act 34.

Company Description

UPMC is an Equal Opportunity Employer/Disability/Veteran.