Offer summary

Qualifications:

High School diploma or GED equivalent required., Completion of an AHIMA or AACP-certified Coding program or equivalent with relevant coursework., Three years of inpatient coding experience is necessary., Certification as a CCS, CPC, NRCCS, RHIA, or RHIT is required. .

Key responsabilities:

Code inpatient accounts by assigning and verifying diagnoses and procedures using ICD-10-CM and ICD-10-PCS.

Review medical records for accuracy and completeness before submission to the billing system.

Utilize computer applications and resources to complete the coding process efficiently.

Participate in monthly coding meetings and maintain continuing education in coding standards.

Job description

UPMC Corporate Revenue Cycle is hiring a Coder III- Technical to join our inpatient coding team! This position will work during daylight business hours, Monday through Friday. To be considered for this position, you must have three years of inpatient coding experience.

In this role you will code Inpatient accounts and accurately assign diagnosis and PCS codes. You will code all inpatient service types that require ICD-10 diagnosis and ICD-10 PCS coding skills. As the Coder III, you will review the inpatient medical record and assign the appropriate Principal diagnosis and procedure as well as any secondary diagnoses and procedures that meet coding guidelines for assignment. Additionally, you will complete all required abstracting fields. This role will require knowledge of billing and coding guidelines.

Responsibilities:

Code by assigning and verifying the principle and secondary diagnoses (ICD-9-CM/ICD-10-CM) and procedures (ICD-9-PCS/ICD-10- PCS) by thoroughly reviewing all documentation available at the time of coding.
Determine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care are sequenced in order of their clinical significance to accurately assign the appropriate MS/APR DRG’s.
Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize standard coding guidelines and principles and coding clinics to assign the appropriate ICD-9/ICD-10-CM and PCS for inpatient records to ensure accurate reimbursement.
Utilize computer applications and resources essential to completing the coding process efficiently, such as hospital information systems, EHR information systems, encoders and electronic medical record repositories. 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.
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 including routing cases appropriately in the electronic systems.
Complete a non coding time productivity sheet as required/applicable.
Meet appropriate coding productivity and quality standards within the time frame established by management staff.
Perform Resource Coding Duties.
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, and updated coding clinics
High School or GED equivalent.
Completed an AHIMA or AACP-certified Coding program or certificate, Bidwell Training School or equivalent program with a curriculum including Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD-9-CM/ICD 10-CM and PCS CPT Coding Guidelines and Procedures.
Three years hospital coding experience.

Licensure, Certifications, and Clearances:

Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) OR Nationally Registered Certified Coding Specialist (NRCCS) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT)
Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

Annual

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