Remote Medical Coder II – ICD/CPT & Denials

UPMC; Erie (Erie County); Remote; USD 60,000 - 80,000; Full time

Job summary

UPMC's Regional Health Services is seeking a Coder II, PSD to join their team. This full-time position will work Monday through Friday, day-shift, with some schedule flexibility. This is a work-from home position.

Occasional travel to practices may be requested to provide coding and billing education to providers and staff. Responsibilities include reviewing documentation, assigning ICD/CPT codes, applying modifiers, and resolving denials to maximize reimbursement.

Qualifications

• High school graduate or equivalent.
• Graduate of an approved certified coding program preferred.
• Eligible for CPC or CPC specialty certification.
• Act 31, Act 33, Act 34 and Act 73 clearances with renewal.

Responsibilities

• Refer problem accounts to appropriate coding or management personnel for resolution.
• Meet and maintain coding productivity standards within the time frame established by management.
• Monitor and resolve coding edits and denials to ensure optimal reimbursement.
• Identify incomplete documentation and generate physician queries for missing information.
• Adhere to department policies and participate in coding meetings for process improvements.

Skills

MS Excel

Attention to detail

Coding accuracy

Education

High school diploma or equivalent

Certified coding program graduate

CPC certification eligible

Tools

CPT Assistant

Coding Clinics

CCI Edits

Billing system awareness

Job description

UPMC's Regional Health Services is seeking a Coder II, PSD to join their team. This full-time position will work Monday through Friday, day-shift, with some schedule flexibility. This is a work-from home position.

Occasional travel to practices may be requested to provide coding and billing education to providers and staff. Responsibilities include reviewing documentation, assigning ICD/CPT codes, applying modifiers, and resolving denials to maximize reimbursement.