At UPMC, we are committed to keeping our communities safe and healthy as the COVID-19 pandemic unfolds. Visit upmc.com/vaccinesupport to learn more about how you can help.

Our recruiters will continue to fill positions throughout this time, but interviews and other processes may be modified to protect the safety of our candidates and employees. Thank you for your patience.

For more information about UPMC's response to COVID-19, please visit upmc.com/coronavirus.

Search Our Jobs

   Current UPMC employees must apply in HR Direct

Coding Coordinator

  • Job ID: 137728641
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Corporate Revenue Cycle
  • Department: Rev Cyc Coding
  • Location: 2 Hot Metal Street, Pittsburgh PA 15203
  • Union Position: No
  • Salary Range: $20.71 to $34.54 / hour

Description

Job Summary:

Are you looking for the next step in your coding career? Look no further than the Coding Coordinator opportunity! This position has the same responsibilities of Coder II and works directly with Coding Management regarding Revenue Cycle Processes and issues. This position assists in recommendation and implementation of process changes and acts as a primary resource for questions from other coding staff and assists management with monitoring daily activity and supervision of staff. The coordinator reviews/approves adjustments to accounts and ensures adherence to all applicable SOX coding and reimbursement controls. Additionally, this role provides coding and reimbursement reports to administration to ensure all KPI's are maintained.

Do you have Same Day Surgery Coding or Emergency Room and Observation Outpatient Coding experience?  If so, look no further and apply!


Responsibilities:
  • Utilize computer applications and resources essential to completing the coding process efficiently.
  • Make forward progress within the training period toward meeting coding accuracy standards of the department within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff.
  • Be a resource for other coders.
  • 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.
  • May supervise staff, including assignments and Kronos approval and sign off, as well as, assist with recruitment, as the size of the department and business need dictates.
  • Adhere to internal and system-wide competencies, behavior 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.
  • Refer problem accounts to appropriate coding or management personnel for resolution.
  • 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.
  • Responsible for assigning the PQRS codes and assists in the development of templates and processes to obtain the appropriate documentation.
  • Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to provide education to physician to accurately complete the coding process.

Qualifications

  • High school graduate or equivalent. 
  • Proficient computer skills with MS excel knowledge.  
  • Five years of experience in Revenue Cycle Processes and Data Analysis, written and oral communication skills are preferred. 
  • Five years Coding Experience Required. Revenue Cycle Experience Preferred.

Licensure, Certifications, and Clearances:
  • Act 34 Criminal Clearance

UPMC is an Equal Opportunity Employer/Disability/Veterans

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life &emdash; because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct