Coder II - Technical (Inpatient Coding)

UPMC; Pittsburgh (Allegheny County); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Remote work

Job summary

UPMC Corporate Revenue Cycle is seeking a Coder III to join the Coding Department. This is a work-from-home role, Monday through Friday during standard business hours.

The position focuses on inpatient coding, assigning ICD-10-CM diagnoses and PCS procedures, and reviewing documentation for accurate submission. Candidates should have AHIMA/AACP certification and 2+ years of hospital coding experience.

Qualifications

• High School Diploma or GED required.
• AHIMA or AACP-certified coding program or equivalent.
• Minimum 2 years hospital coding experience.

Responsibilities

• Code all inpatient diagnoses and procedures using ICD-10-CM and PCS.
• Review codes for accuracy before submission to billing system.
• Adhere to department policies and complete daily productivity reporting.
• Identify incomplete documentation and request physician clarification as needed.
• Utilize coding guidelines and coding clinics to assign codes.
• Maintain ongoing professional education and participate in coding meetings.

Skills

Attention to detail

Analytical thinking

Time management

Communication

Education

High School Diploma or GED

AHIMA or AACP-certified Coding program

2+ years hospital coding experience

Tools

Optum coding application

Electronic Health Record (EHR) systems

Job description

UPMC Corporate Revenue Cycle is hiring a Coder III to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours.

This position will be working on inpatient codes. As the Coder II, Technical you will code all inpatient accounts, ICD10 diagnoses, and PCS procedures.

Responsibilities

• Code all diagnoses and procedures by assigning and verifying the proper ICD-10-CM and PCS codes following review of the medical record in the electronic health record. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the EHR available at the time of coding adhering to Official Coding Guidelines.
• Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits as published in Optum . Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD10-CM and PCS codes for all record types to ensure accurate reimbursement.
• Adhere to internal department 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 attending seminars, reviewing guidelines and updated coding clinics.
• Make forward progress within the training period toward meeting coding accuracy. Meet appropriate coding productivity standards within the time frame established by management staff.
• Utilize computer applications and resources essential to completing the coding process efficiently, such as the Optum coding application. If applicable, abstract required medical and demographic information from the medical record and enter the data into the appropriate information system to ensure accuracy of the database. Correct any data to be in error after reviewing the electronic health record and comparing with system entries.
• Refer problem accounts to appropriate coding or management personnel for resolution
• Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management clearly indicating the number of hours worked, the number of coding hours, the number of average charts per hour, and number of minutes/hours spent on non-coding tasks.
• Identify incomplete documentation in the medical record and recommend a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process.
• High School or GED equivalent.
• Two years of hospital coding experience.
• Completed an AHIMA or AACP-certified Coding program or certificate, Bidwell Training School or equivalent program with a curriculm that includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM/ICD-10 and CPT Coding Guidelines and Procedures.
• Experience with PCS codes is preferred
• Inpatient: Pharmacology & pathophysiology coursework required

Licensure, Certifications, and Clearances

• Eligible for RHIA, RHIT, CCS
• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran