Job Description

Job Title: Coder I - Technical
Job ID: 731714
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:

Devote your career to a company that cares. At UPMC, our people come together with one common goal: to deliver life changing medicine. This service could not be provided without our employees, so we offer valuable benefits such as paid time off, tuition assistance, and much more. The work UPMC does changes lives each and every day, and we are looking to hire a Coder I (Technical) to do this as well.


The Coder I (Technical) is responsible for coding Ancillary outpatient accounts; this consists of diagnosis coding only. Also, this person will code Ancillary Service patient types (single visit service such as lab, x-ray, and pathology specimen). This specific coding only requires ICD-10 diagnosis coding skills. The coder will review the physician script, order or chief complaint as documented in a diagnostic report to determine the appropriate ICD-10 code. Furthermore, the position ensures diagnosis codes to meet local medical necessity guidelines for ancillary tests that were orders. For this, knowledge of billing and coding guidelines is required. The coder will also respond to Cirius errors identified by the coder ID number of the daily report. Are you eager to be a part of the UPMC community? If so, apply today!


This full time position is located at the Quantum building and is Monday through Friday during daylight hours.  The opportunity to work from home is available after training is complete and productivity is met.


Responsibilities:
  • 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.
  • 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.
  • Complete work assignments in a timely manner and understand the workflow of the department including routing cases appropriately in the electronic systems.
  • 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.
  • Meet appropriate coding productivity and quality standards within the time frame established by management staff.
  • Refer problem accounts to appropriate coding or management personnel for resolution.
  • 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.
  • 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.

Qualifications

  • High School or GED equivalent. 
  • Completed an AHIMA or AAPC-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. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $15.13 to $23.82

Union Position: No

Apply Current Employee?

UPMC VALUES

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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