Certified Professional Coder (Surgical Coding)

UPMC; Pittsburgh (Allegheny County); Remote; USD 50,000 - 75,000; Full time

Job summary

Join a leading healthcare organization as a Certified Professional Coder specializing in surgical coding. This remote position involves ensuring accurate coding and documentation while collaborating with physicians and staff. Ideal candidates will have significant experience in Vascular and Trauma coding, relevant certifications, and a commitment to maintaining coding standards.

Qualifications

• At least 3 years of physician coding experience in relevant specialties.
• Proficiency in coding guidelines and documentation review.
• Required certifications include CCS, CPC, RHIT, RHIA, or CCS-P.

Responsibilities

• Identify incomplete documentation and educate physicians.
• Assign PQRS codes and assist in developing documentation templates.
• Investigate and resolve reimbursement issues.

Skills

Coding accuracy

Documentation education

Problem-solving

Education

High school diploma or equivalent

Graduate of an approved coding program

Tools

MS Excel

Job description

Certified Professional Coder (Surgical Coding)

Join to apply for the Certified Professional Coder (Surgical Coding) role at UPMC.

UPMC Corporate Revenue Cycle is hiring a Certified Professional Coder to join our surgical coding team! We are looking for individuals with strong experience in Vascular and Trauma coding. This is a work-from-home position, working Monday through Friday during normal business hours.

In this role, you will have responsibilities similar to a Coder II, including assigning PQRS codes and assisting in developing templates and processes to ensure proper documentation. You will also provide feedback to physicians on coding, documentation, and denial issues.

Responsibilities:

• Identify incomplete documentation and formulate physician queries to obtain missing information or clarification. Educate physicians to ensure accurate coding.
• Refer problem accounts to appropriate personnel for resolution.
• Work towards meeting coding accuracy and productivity standards within the first year of employment.
• Train new and existing staff on code selection.
• Investigate and resolve reimbursement issues, including denials.
• Assign PQRS codes and assist in developing documentation templates.
• Use coding guidelines, principles, and clinics to assign ICD and CPT codes, ensuring accurate reimbursement.
• Review coding accuracy and completeness before submission, utilizing CCI edits and ACEP acuity level guidelines for ED coding.
• Complete work assignments timely, maintain productivity statistics, and participate in departmental meetings.
• Serve as a resource to other coding staff.
• Utilize essential computer applications efficiently.
• Adhere to policies, participate in audits, and maintain continuing education.
• Collaborate with management on coding system enhancements and changes.

Qualifications:

• High school diploma or equivalent.
• At least 3 years of physician coding experience in relevant specialties.
• Graduate of an approved coding program preferred.
• Proficient in MS Excel preferred.

Licensure and Certifications:

• CCS, CPC, RHIT, RHIA, or CCS-P required.
• Other certifications like NRCCS are acceptable.
• Act 34 clearance required.

UPMC is an Equal Opportunity Employer/Disability/Veteran.

Additional Details:

• Seniority level: Not Applicable
• Employment type: Full-time
• Job function: Other
• Industry: Hospitals and Health Care

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