[Hiring] Coder I - Technical @UPMC

Role Description

UPMC Corporate Revenue Cycle is hiring a Coder I, Technical, to join our Same Day Surgery Coding team! This position will be a work-from-home position working Monday through Friday during business hours.

In this role you will code same-day surgery accounts, CPT procedures, and diagnosis coding. This role requires ICD-10 diagnosis coding skills, as well as knowledge of billing and coding guidelines.

• Refer problem accounts to appropriate coding or management personnel for resolution.
• Meet appropriate coding productivity and quality standards within the time frame established by management staff.
• Adhere to internal department policies and procedures to ensure efficient work processes.
• Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements.
• Maintain continuing education by attending seminars, reviewing updated CPT assistant guidelines and updated coding clinics.
• Review coding for accuracy and completeness prior to submission to the billing system, utilizing CCI edits.
• Utilize standard coding guidelines and principles, and coding clinics to assign the appropriate ICD-10-CM and CPT codes for outpatient records to ensure accurate reimbursement.
• Determine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care are sequenced in order of their clinical significance to accurately assign the appropriate APC/ASC or payment tier under the Prospective Payment system or DSM IV methodology to guarantee accurate reimbursement on UPMC patients.
• Utilize computer applications and resources essential to completing the coding process efficiently, such as hospital information systems, EHR information systems, encoders and electronic medical record repositories.
• If applicable, abstract required medical and demographic information from the medical record and enter the data into the appropriate information system to ensure accuracy of the database.
• Complete work assignments in a timely manner and understand the workflow of the department including routing cases appropriately in the electronic systems.
• Code by assigning and verifying the principle and secondary diagnoses (ICD-10-CM) and procedures (CPT codes or DSM, IV if applicable) by thoroughly reviewing all documentation available at the time of coding.
• Complete a non-coding time productivity sheet as required/applicable.

Qualifications

• High School or GED equivalent.
• Completed an AHIMA or AACP-certified Coding program or certificate, Bidwell Training School or equivalent program with a curriculum that includes Anatomy and Physiology, Medical Terminology, ICD-9-CM/ICD 10 and CPT Coding Guidelines and Procedures.
• Six months of hospital coding experience preferred.

Licensure, Certifications, and Clearances

• Act 34

Company Description

UPMC is an Equal Opportunity Employer/Disability/Veteran.