Job Description

Job Title: Certified Professional Coder
Job ID: 670995
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Susquehanna Sunbury
Department: SUNBURY ENT
Location: 350 N 11th Street, Sunbury PA 17801

Description

Purpose:
UPMC is searching for a Certified Professional Coder to join their team!  This position will have similar as a Coder II, but will also be responsible for assigning PQRS codes and assisting in the development of templates and processes to obtain the appropriate documentation. This position will provide feedback to the physicians on coding, documentation, edit and denial issues.  Sound like a fit for you?  Apply today!

Responsibilities:
  • Adhere to internal and system-wide competencies, behaviors, 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 reviewing updated CPT assistant guidelines and updated coding clinics.
  • Be a resource to other coding staff.
  • 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 and provide education to physicians to accurately complete the coding process.
  • Investigate and resolve reimbursement issues, including denials, in a timely manner per department standards.
  • Lead, participate in and/or assist with departmental coding audits.
  • Make forward progress within the training period toward meeting coding accuracy standards of the departments within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff.
  • Provides training on code selection for new and existing staff.
  • Refer problem accounts to appropriate coding or management personnel for resolution.
  • Responsible for assigning PQRS codes and assists in the development of templates and processes to obtain the appropriate documentation.
  • Utilize computer applications and resources essential to completing the coding process efficiently.
  • Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc). Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding.
  • Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions.

Qualifications

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

Licensure, Certifications, and Clearances:
  • Certified Coding Specialist,Certified Professional Coder, Registered Health Information Administrator or Registered Health Information Technician

  • Act 34 Criminal Clearance with Renewal

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $16.98 to $25.48

Union Position: No

At UPMC, our shared goal is to create a cohesive, positive, experience for our employees, patients, health plan members, and community. If you too are driven by these values, you may be a great fit at UPMC!

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