Job Description

Job Title: Coder I - Profee
Job ID: 698391
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility:
Department: Rev Cyc Coding
Location: 2 Hot Metal Street, Pittsburgh PA 15203

Description

Purpose:
Looking to start your medical coding career?  UPMC is searching for a Coder I-Profee to join their Revenue Cycle team in Pittsburgh.  This role assigns ICD and limited CPT codes. The coder reviews the physician documentation to determine the appropriate ICD-10 code and primarily verifies the CPT code, but in some cases assigns basic CPT codes.  The coder resolves basic coding edits amd completes the charging process. The Coder ensures diagnosis codes meet local medical necessity guidelines for ancillary tests that were ordered, which requires knowledge of billing and coding guidelines. The coder utilizes coding resources (CCI edits, 3M, ICD and CPT Publications) along with any other applicable specialty reference material to ensure accurate coding.  Pathology coding experience preferred.

This position is Monday through Friday during daylight hours.  It is located at the Quantum I building in Pittsburgh, but has the ability to work from home after training is complete.  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.
  • 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 to accurately complete the coding process.
  • 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.
  • Meet and maintain charge lag and coding productivity standards within the time frame established by management staff.
  • Refer problem accounts to appropriate coding or management personnel for resolution.
  • Utilize computer applications and resources essential to completing the coding process and to resolve basic coding edits efficiently.
  • Utilize standard coding guidelines and principles and coding clinics to assign the appropriate ICD and CPT for all records to ensure accurate reimbursement. Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits.

Qualifications

  • High school graduate or equivalent. 
  • Graduate of an approved certified coding program preferred OR Completed UPMC sponsored Coding program. 
  • Curriculum 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, six months experience.

Licensure, Certifications, and Clearances:
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $15.13 to $23.82

Union Position: No

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