Job Description

Job Title: Coder I - Technical
Job ID: 1900020K
Status: Full-Time
Regular/Temporary: Regular
Hours: 8 a.m to 4:30 p.m.
Shift: Day Job
Facility:
Department: Health Infor-Coding-HBG
Location: 111 South Front Street, Harrisburg PA 17105

Description

Purpose:
Reviews Emergency Department patient records and translates pertinent diagnoses into the ICD-10-CM for all patients discharged from the ED. Calculates the technical E&M, and charges for other procedures using CPT-4 coding system for all ED patients regardless of their discharge disposition. Enters data from patient records via the PC for calculation of diagnosis codes using Optum Computer Assisted Coding. Enters charges and technical E&M directly into Epic. This position requires analysis and critical attention to detail.

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-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 principal and secondary diagnoses (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. 
  • 6 months hospitals coding experience preferred.

Licensure, Certifications, and Clearances:
  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

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

    Salary Range: $17.93 to $26.91 / hour

    Union Position: No

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