Job Description

Job Title: Coder I - Technical
Job ID: 23223536
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.


This role is responsible for coding Emergency Room and Observation Accounts. This role is responsible for Coding ICD 10 diagnosis, CPT procedures, Charging drug administrations (infusions, injections, hydration) and Observation Hours.

The Coder I-Technical reviews physician and nursing documentation to determine appropriate diagnosis and CPT codes. This role also ensures diagnosis codes meet location medical necessity guidelines for testing and interventions. To be successful in this role, one must have knowledge of billing and coding guidelines.

 

 

Responsibilities:
  • 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 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/Disability/Veteran

Salary Range: $15.58 to $24.54 / hour

Union Position: No

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