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Coder II - Technical

  • Job ID: 1900020N
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: 8 a.m to 4:30 p.m.
  • Shift: Day Job
  • Facility: UPMC Pinnacle Hospitals
  • Department: Health Infor-Coding-HBG
  • Location: 111 South Front Street, Harrisburg PA 17105
  • Union Position: No
  • Salary Range: $18.91 to $28.38 / hour

Description

Purpose:
Join an organization that cares! UPMC is searching for a Coder to join their Health Information team. Codes II- Technical is responsible for all inpatient accounts, diagnoses, and procedures.

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.
  • Make forward progress within the training period toward meeting coding accuracy standards of 98% within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff.
  • Code all diagnoses and procedures by assigning and verifying the proper ICD-10-CM and CPT codes (DSM IV if applicable). Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding.
  • Utilize computer applications and resources essential to completing the coding process efficiently, such as hospital information systems (Medipac/SMS/Meditech), 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. Correct any data to be in error after reviewing the medical record and comparing with system entries.
  • Determine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care and assign appropriate codes. Review appropriate documents in the patients' charts to accurately assign a diagnosis and/or procedure. Ensure the diagnoses and procedures are sequenced in order of their clinical significance to accurately assign the appropriate DRG/APC/ASC or payment tier under the Prospective Payment system or DSM IV methodology to guarantee accurate reimbursement on UPMC patients.
  • 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. Consult with DRG Specialist when applicable during query process.

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, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures.  
  • Pharmacology & pathophysiology coursework required. 2 years hospital coding experience.

Licensure, Certifications, and Clearances:
Eligible for RHIA, RHIT, CCS

  • 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

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       Current UPMC employees must apply in HR Direct

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