- Join Our Team as a Coder 1!**
We are seeking a detail-oriented and motivated individual to join our team as a Coder 1. In this entry-level role, you will play a key part in ensuring accurate coding of medical records and data, supporting compliance and quality initiatives. If you have a strong eye for detail, a passion for accuracy, and a desire to grow in the healthcare or data management field, we encourage you to apply.
Responsibilities:
- Utilize standard coding guidelines and principles and coding clinics to assign the appropriate ICD and CPT for all records to ensure accurate reimbursement.
- Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits.
- 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.
- Utilize computer applications and resources essential to completing the coding process and to resolve basic coding edits efficiently.
- Refer problem accounts to appropriate coding or management personnel for resolution.
- Meet and maintain charge lag and coding productivity standards within the time frame established by management staff.
- Adhere to internal and system-wide competencies, behaviors, 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 reviewing updated CPT assistant guidelines and updated coding clinics.
- Make forward progress within the training period toward meeting coding accuracy standards of the departments within the first year of employment.
Preferred Qualifications: Experience Coding for Radiology (physician component) & billing is a plus!
Schedule & Travel Details:
- Work Hours: Monday through Friday, with flexible start times between 6:00 AM and 8:00 AM, ending between 2:30 PM and 4:30 PM (8-hour shifts).
- Overtime: Opportunities for overtime may be available!
- Hybrid Work Model: Enjoy a balanced schedule with 3 remote workdays and 2 in-office days after training is completed.
Qualifications:
- High school graduate or equivalent.
- Graduate of an approved certified coding program preferred.
- Curriculum includes Anatomy and Physiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures.
- Proficient computer skills with MS excel knowledge preferred.
- In lieu of completed coding externship, 6 months experience.
Licensure, Certifications, and Clearances:
UPMC is an Equal Opportunity Employer/Disability/Veteran
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