Coder II, Profee

UPMC; United States; Remote; USD 55,000 - 75,000; Full time

Job summary

UPMC is seeking a Coder II for a remote position to assist with cardiology coding. Responsibilities include reviewing documentation for coding accuracy, maximizing reimbursement, and resolving coding denials. Ideal candidates will have experience with coding edits and EPIC systems.

Qualifications

• Experience in coding edits and EPIC systems.

Responsibilities

• Utilize computer applications for efficient coding.
• Monitor and resolve coding edits and denials promptly.
• Adhere to departmental policies and participate in coding meetings.

Skills

Coding Edits

EPIC Systems

Job description

UPMC Corporate Revenue Cycle - Coder II- Profee (Remote)

UPMC Corporate Revenue Cycle is hiring a Coder II- Profee to assist with cardiology coding. This is a work-from-home position, Monday through Friday during business hours.

This role has the same responsibilities as a Coder I, including reviewing physician, nursing, and ancillary documentation to determine acuity, procedures, billable supplies, and diagnosis codes to support medical necessity. The coder will review and sequence codes to maximize reimbursement, address bundling issues, and apply modifiers as needed. The position also involves handling LMRP/CCI edits and resolving coding denials.

We seek coders with experience in coding edits and EPIC systems to join our team. If you're ready to advance your coding career, consider this opportunity!

Responsibilities:

• Utilize computer applications and resources essential for efficient coding.
• Maintain charge lag and coding productivity standards as set by management.
• Refer problematic accounts to appropriate personnel for resolution.
• Identify incomplete documentation and formulate physician queries for clarification or missing information.
• Monitor and resolve coding edits and denials promptly to ensure optimal reimbursement.
• Progress towards departmental accuracy and productivity standards within the first year of employment.
• Use standard coding guidelines, principles, and clinics to assign accurate ICD and CPT codes, ensuring proper reimbursement and correct level of acuity. Review coding accuracy before submission using CCI edits.
• Adhere to departmental and system-wide policies, participate in monthly coding meetings, and pursue continuing education on updated guidelines.
• Complete work assignments timely, understand departmental workflow, and maintain daily productivity statistics for management review.