COVID-19 Vaccination Information

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UPMC continues to comply with governmental guidance related to local, state, and federal COVID-19 vaccination for employment. All employees and affiliated staff of UPMC entities are considered essential health care workers and will be accountable to follow the Centers for Medicare & Medicaid Services (CMS) federal vaccine mandate. To be compliant with the federal mandate, employees must complete the approved vaccination dosage regimen currently defined by the federal government. Compliance with the federal mandate is encouraged before hire and is required after employment begins. Medical and religious exemption requests may be submitted for consideration.

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

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Certified Professional Coder

  • Job ID: 499489509
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: Pinnacle Health Medical Services - Admin
  • Department: PBO Business Operations
  • Location: 1200 Camp Hill Bypass, Camp Hill PA 17011
  • Union Position: No
  • Salary Range: $20.35 to $30.53 / hour

Description

Purpose:
The Certified Professional Coder is responsible for assigning PQRS codes and assists in the development of templates and processes to obtain the appropriate documentation. Provide feedback to the physicians on coding, documentation, edit and denial issues.

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 MS excel knowledge preferred.
  • Three years physician coding experience in the applicable specialty.


Licensure, Certifications, and Clearances:
CPC or Certified Coding Specialist (CCS) specialty certification required.

Clearances must be dated within 90 days
 

  • Certified Coding Specialist (CCS)
  • Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT)
  • Act 33 with renewal
  • Act 34 with renewal
  • Act 73 FBI Clearance with renewal

UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct