Pennsylvania Staffing
Coder II- Technical
UPMC Corporate Revenue Cycle is hiring a Coder II- Technical to join our Coding team! This position will be a work-from-home position working Monday through Friday during business hours. In this role, you will be handling outpatient coding which will mainly include Same Day Surgeries and Special Procedure Coding. We are looking for individuals with at least two years of hospital coding and working knowledge of ICD-10-CM diagnosis coding as well as CPT, HCPCS, and Modifiers.
Responsibilities include:
- Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits.
- Utilize standard coding guidelines, principles, and coding clinics to assign the appropriate ICD-9-CM, CPT, and DSM IV codes for all record types to ensure accurate reimbursement.
- Adhere to internal department policies and procedures to ensure efficient work processes.
- Make forward progress within the training period toward meeting coding accuracy standards of 98% within the first year of employment.
- Code all diagnoses and procedures by assigning and verifying the proper ICD-9-CM and CPT codes (DSM IV if applicable).
- Utilize computer applications and resources essential to completing the coding process efficiently.
- 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.
- 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.
Qualifications:
- High School or GED equivalent.
- Two years of hospital coding experience.
- Completed an AHIMA or AACP-certified Coding program or certificate, Bidwell Training School or equivalent program.
- Curriculum includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures.
- Inpatient: Pharmacology & pathophysiology coursework required.
Licensure, Certifications, and Clearances:
- Eligible for RHIA, RHIT, CCS
- Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran