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UPMC complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

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Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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Coder I - Technical (Inpatient)

  • Job ID: 649080106
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Corporate Revenue Cycle
  • Department: Rev Cyc Coding
  • Location: 2 Hot Metal Street, Pittsburgh PA 15203
  • Union Position: No
  • Salary Range: $16.86 to $26.56 / hour

Description

UPMC Corporate Revenue Cycle is hiring a Coder I- Technical to join our team!  This position will work during daylight business hours, Monday through Friday.   The position will work fully remote!  This Coder I will code all inpatient accounts, diagnoses, and procedures.  The position also assigns ICD-10-CM diagnosis codes and ICD-CM-PCS procedure codes for all UPMC inpatient facilities.

Are you looking to start your career in coding?  If so, this could be the opportunity for you!

Responsibilities:

 

  • Code all diagnoses and procedures by assigning and verifying the proper ICD-10-CM and PCS codes. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding.
  • Determine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care and assign appropriate codes.  Review appropriate documents in the patients' charts to accurately assign a diagnosis and/or procedure.  Ensure the diagnoses and procedures are sequenced in order of their clinical significance to accurately assign the appropriate MS-DRG/APR-DRG or payment tier under the Prospective Payment to elicit appropriate reimbursement upholding all rules of compliant coding.
  • Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits.  Utilize official coding guidelines, principles and AHA Coding Clinics to assign the appropriate ICD-10-CM and PCS codes for all inpatient record types to ensure accurate reimbursement.
  • Identify incomplete documentation in the medical record to recommend a physician query to obtain missing documentation and/or clarification to accurately complete the coding process, adhering to standard query practices. 
  • 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 billing system utilizing CCI edits. Utilize standard coding guidelines and principles and coding clinics to assign the appropriate ICD-9-CM/ICD-10-CM, CPT and DSM IV 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-9-CM/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, Bidwell Training School or equivalent program.
  • Curriculum includes Anatomy and Physiology, Medical Terminology, ICD-9-CM/ICD 10 and CPT Coding Guidelines and Procedures.
  • Six months hospitals coding experience preferred.

Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct

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