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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.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

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 - Profee (Denials)

  • Job ID: 896086369
  • 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: $17.37 to $27.36 / hour

Description

UPMC Corporate is hiring a Coder I- Profee to join our Revenue Cycle Team!  This role will be fully remote and work Monday through Friday during standard daylight business hours.  The role will focus on coding denial work.  

Did you recently complete a coding externship or do you have six months of prior coding experience?  If so, this could be the next step in your coding career!  Apply today to be considered!

Responsibilities:

 

  • 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.
  • 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.
  • Utilize computer applications and resources essential to completing the coding process and to resolve basic coding edits efficiently.
  • Refer problem accounts to appropriate coding or management personnel for resolution.
  • Meet and maintain charge lag and coding productivity standards within the time frame established by management staff.
  • 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.
  • 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.

 

Qualifications

  • High school graduate or equivalent.
  • Graduate of an approved certified coding program preferred.
  • Curriculum includes Anatomy and Physiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures.
  • Proficient computer skills with MS excel knowledge preferred.
  • In lieu of completed coding externship, 6 months experience.


Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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