UPMC is an Equal Opportunity Employer/Disability/Veteran.
Coder I - Technical
Location
United States
Posted
4 days ago
Salary
0
Seniority
Mid Level
Job Description
Coder I - Technical
UPMC
Role Description UPMC Corporate Revenue Cycle is hiring a Coder I- Technical to join our inpatient coding team! This position will work during daylight business hours, Monday through Friday, and is fully remote. The position assigns ICD-10-CM diagnosis codes and ICD-CM-PCS procedure codes for all UPMC inpatient facilities. Are you looking to start your career in coding? If so, this could be the opportunity for you! - Code all diagnoses and procedures by assigning and verifying the proper ICD-10-CM and PCS codes. - Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding. - 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 MS-DRG/APR-DRG or payment tier under the Prospective Payment to elicit appropriate reimbursement upholding all rules of compliant coding. - Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. - Utilize official coding guidelines, principles, and AHA Coding Clinics to assign the appropriate ICD-10-CM and PCS codes for all inpatient record types to ensure accurate reimbursement. - Identify incomplete documentation in the medical record to recommend a physician query to obtain missing documentation and/or clarification to accurately complete the coding process, adhering to standard query practices. - 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, and updated coding clinics and other references. - Complete work assignments in a timely manner and understand the workflow of the department including routing cases appropriately in the electronic systems. - Complete a non-coding time productivity sheet as required/applicable. - Refer problem accounts to appropriate coding or management personnel for resolution. - 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. Qualifications - High School or GED equivalent. - Completed an AHIMA or AACP-certified Coding program or certificate, Bidwell Training School or equivalent program with a curriculum that includes Anatomy and Physiology, Medical Terminology, ICD-9-CM/ICD 10 and CPT Coding Guidelines and Procedures. - Familiarity with PCS codes is preferred. - Six months of hospital coding experience preferred. Licensure, Certifications, and Clearances - Act 34 Benefits - UPMC is an Equal Opportunity Employer/Disability/Veteran.
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