Job Description

Job Title: Certified Coding Specialist II
Job ID: 694805
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Susquehanna Williamsport
Department: HEALTH RECORDS
Location: 700 High Street, Williamsport PA 17701

Description

Purpose:
The UPMC Susquehanna group is looking for a Certified Coding Specialist II to join their team!  This position will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate coding for billing, internal and external reporting, and regulatory compliance. This role will accurately code final diagnosis of all out patient encounters as documented in the Official Coding Guidelines. This position will resolve error reports associated with billing process, identify and report error patterns and when necessary, assist in design and implementation of changes to reduce billing changes.

The position is Monday through Friday during daylight hours.  The position is based at the Williamsport Regional Medical Hospital, but has the opportunity to work from home.  

Responsibilities:
  • Actively practice behaviors associated with SH Service Excellence expectations. Smile at and greet everyone enthusiastically, treat everyone with respect, dignity and C.A.R.E. Be an ambassador for Susquehanna Health. Provide the best C.A.R.E. for our patients no matter what.
  • Assign appropriate diagnosis codes for all outpatient encounters and inpatient encounters utilizing current classification systems.
  • Assume responsibility for personal development and education.
  • Extract required information from source documentation and enter into encounter and abstracting system.
  • Follow specific guidelines to ensure appropriate code assignment and optimal reimbursement.
  • Incorporate leading/evidence-based practice in quality/safety into every day work. Commit to high quality, safe work; encourage others to have similar standards. Identify processes/systems that could lead to inefficient practices, unsafe conditions, errors or adverse events. Avoid shortcuts to ensure quality and safety measures are not circumvented. Encourage patient and family involvement in processes involving patient safety. Speak up with other service partners to ensure high quality and safety. Report serious events/incidents per policy.
  • Initiate a physician query when documentation in the record is inadequate, ambiguous or unclear for coding purposes and an accurate code assignment can not be applied.
  • Know and follow all organizational/departmental policies/procedures.
  • Maintain up to date knowledge of coding guidelines and reimbursement report guidelines.
  • Research pre bill reports to correct or complete encounters while identifying trends that may cause interference with finalizing completion status. Assist in implementing solutions to reduce back-end billing errors.
  • Respond to audit findings by providing documentation references and copies of record to Coding Manager to assist in preparing a facility response.
  • Review records and provide codes to support medical necessity requests for specific tests as identified by Finance.

Qualifications

  • High School Diploma or equivalent required 
  • Two years of experience with at least one year in out patient coding required.

Licensure, Certifications, and Clearances:
  • CCS (Certified Coding Specialist) Required 
  • RHIT (Registered Health Information Technician) preferred
  • Act 34 Criminal Clearance

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

Salary Range: $19.09 to $28.63

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!

QUALITY & SAFETY
DIGNITY & RESPECT
CARING & LISTENING
RESPONSIBILITY & INTEGRITY
EXCELLENCE & INNOVATION

UPMC provides a total rewards package that can help you achieve the goals you have for your career and your personal life. Whether you want to learn a new skill through a training course, reach personal health and wellness targets, become more involved in your community, or follow a career path that provides you with the right experience to be successful, UPMC can help you get to where you want to be.



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