Remote ICD/CPT Coder I – Professional Fee

UPMC; Northern (KY); Hybrid; USD 45,000 - 65,000; Full time

Job summary

UPMC Corporate Revenue Cycle is hiring a Coder I- Professional Fee to join our Coding Department. This will be a work-from-home position with standard Monday through Friday business hours.

You will assign ICD and limited CPT codes by reviewing physician documentation to determine the appropriate ICD-10 code and verify CPT codes, ensuring alignment with local medical necessity guidelines for ancillary tests.

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 the 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.
• Make forward progress within the training period toward meeting coding accuracy standards of the departments within the first year of employment.

Job description

UPMC Corporate Revenue Cycle is hiring a Coder I- Professional Fee to join our Coding Department. This will be a work-from-home position with standard Monday through Friday business hours.

You will assign ICD and limited CPT codes by reviewing physician documentation to determine the appropriate ICD-10 code and verify CPT codes, ensuring alignment with local medical necessity guidelines for ancillary tests.