UPMC Corporate Revenue Cycle is hiring a Coder II to join its Coding Department. This is a work-from-home position with a Monday through Friday schedule during business hours.
The role focuses on professional fee coding with an emphasis on cardiology coding. You will review physician, nursing, and ancillary documentation in the medical record, determine acuity and procedure details, assign diagnoses and procedures to support medical necessity, apply modifiers, resolve coding edits and denials, and help maximize reimbursement while maintaining coding accuracy and productivity standards.
Requirements & Qualifications
Qualifications
- High school graduate or equivalent
- Graduate of an approved, certified coding program preferred
- Coursework should include Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-10-CM, and CPT coding guidelines and procedures
- Proficient computer skills, including MS Excel preferred
- Eligible for CPC or CPC specialty certification
- Minimum of 3 years of coding experience or CPC certification required if not meeting the 2-year coding experience plus schooling pathway
Responsibilities
- Review pertinent physician, nursing, and ancillary documentation
- Determine level of acuity, procedures performed, billable supplies, and diagnoses supporting medical necessity
- Sequence codes to maximize reimbursement and address bundling issues
- Apply modifiers as needed
- Resolve LMRP/CCI edits and coding denials
- Use ICD and CPT coding guidelines, CPT Assistant, and coding clinics to assign accurate codes
- Identify incomplete documentation and prepare physician queries
- Maintain coding accuracy and productivity standards
- Submit productivity statistics and participate in coding meetings
- Maintain continuing education and keep up with coding guideline updates
Location
Pittsburgh, Pennsylvania, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago