Job Description

Job Title: Certified Professional Coder
Job ID: 11245259
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:
Take the next step in your coding career and join the team as a Certified Professional Coder!  This role has the same responsibilities as Coder II. It also will be responsible for assigning PQRS codes and assists in the development of templates and processes to obtain the appropriate documentation. This role will provide feedback to the physicians on coding, documentation, edit and denial issues. Candidates with previous experience in Plastic and Reconstructive Surgical Coding highly encouraged to apply.

This role is Monday through Friday during normal business hours.  Ability to work from home is allowed after training is complete and productivity is met.

Responsibilities:
  • Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification and provide education to physicians to accurately complete the coding process.
  • Refer problem accounts to appropriate coding or management personnel for resolution.
  • 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 staff.
  • Provides training on code selection for new and existing staff.
  • Investigate and resolve reimbursement issues, including denials, in a timely manner per department standards.
  • Responsible for assigning PQRS codes and assists in the development of templates and processes to obtain the appropriate documentation.
  • Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc). Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding.
  • 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.
  • Be a resource to other coding staff.
  • Utilize computer applications and resources essential to completing the coding process efficiently.
  • 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.
  • Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions.
  • Lead, participate in and/or assist with departmental coding audits.

Qualifications

  • High school graduate or equivalent. 
  • Graduate of an approved certified coding program preferred. 
  • Proficient computer skills with Microsoft excel knowledge preferred.
  • Three years physician coding experience in the applicable specialty.
  • Plastic and Reconstructive Surgical coding experience preferred.

Licensure, Certifications, and Clearances:
Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT)

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

Salary Range: $17.62 to $29.28 / hour

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.


WORKING HERE



Now more than ever, YOU can help us shape our communities and UPMC into a better place for everyone to work, study, play, and thrive.

Learn more about working here and check out our policies and recent updates.

UPMC Health Plan Named Best Places to Work for LGBTQ Equality in 2019


UPMC Ranked #1 Best Places for Women and Diverse Managers in 2019

Share:
Talent Network