UPMC's Regional Health Services is seeking a Coder II, PSD to join their team. This is a full-time, Monday through Friday, day-shift position with some schedule flexibility. The role is work-from-home, with occasional travel to practices as needed to provide coding and billing education to providers and staff.
The position is responsible for reviewing physician, nursing, and ancillary documentation in the medical record, determining level of acuity and procedures performed, and assigning billable supplies and diagnoses to support medical necessity. The coder reviews and sequences codes to maximize reimbursement, addresses bundling issues, applies modifiers as needed, and resolves LMRP/CCI edits and coding denials.
High school diploma or equivalent.
Graduate of an approved certified coding program preferred.
Coursework should include:
- Anatomy and Physiology
- Pharmacology
- Pathophysiology
- Medical Terminology
- ICD-9-CM and CPT coding guidelines and procedures
Proficient computer skills, including MS Excel, preferred.
In lieu of 2 years of coding experience with schooling, a minimum of 3 years of experience or CPC certification is required.
Eligible for CPC or CPC specialty certification.
Clearance requirements:
- Act 31 Child Abuse Reporting with renewal
- Act 33 with renewal
- Act 34 with renewal
- Act 73 FBI Clearance with renewal
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago