UPMC Corporate Revenue Cycle is hiring a Coder III to join its Coding Department. This is a work-from-home position with a Monday through Friday schedule during business hours.
In this role, you will monitor and respond to accounts on Pre-Bill edit and error reports, assist with training other coders, perform PHC4 coding corrections, provide feedback to coders on errors, and help ensure accounts are completed within expected timeframes. You will also review Pre-Bill Edit report issues to support timely billing and assist with special projects as needed.
The position focuses on accurate coding, timely reimbursement, workflow support, and ongoing collaboration with the coding and management teams.
Qualifications
- High school diploma or GED equivalent
- Completed an AHIMA- or AACP-certified coding program, Bidwell Training School, or equivalent program with coursework in Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-10-CM, and CPT coding guidelines and procedures
- Minimum of 3 years of hospital coding experience
- Strong background in Interventional Radiology (IR) and Interventional Cardiology (IC) CPT coding
- Requires CCS, RHIT, RHIA, or CPC certification
- CIRCC credential preferred
Responsibilities
- Assign diagnoses and procedures based on review of patient charts and clinical documentation
- Sequence diagnoses and procedures by clinical significance for accurate reimbursement
- Code using ICD-10-CM, CPT, and DSM IV when applicable
- Maintain coding accuracy and productivity standards
- Identify incomplete documentation and prepare physician queries when needed
- Review coding for completeness and accuracy before submission to the billing system
- Use coding guidelines, coding clinics, CPT Assistant, and CCI edits appropriately
- Utilize hospital information systems, encoders, and electronic medical record repositories
- Abstract demographic and medical information into the appropriate system when required
Location
Pittsburgh, Pennsylvania, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago