Certified Professional Coder (Cardiology Coding)

UPMC

13h•Remote

About The Position

UPMC Corporate Revenue Cycle is hiring a Certified Professional Coder to work on cardiology coding. This is a work-from-home position, Monday through Friday during normal business hours. The role has the responsibilities of a Coder II and additionally assigns PQRS codes, assists with developing templates and processes to obtain appropriate documentation, and provides physicians with feedback on coding, documentation, edit, and denial issues. Three years of coding experience is required.

Requirements

High school graduate or equivalent.
Three years of physician coding experience in the applicable specialty.
One of the following credentials: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician-Based (CCS-P), Certified Professional Coder (CPC), Nationally Registered Certified Coding Specialist (NRCCS), Registered Health Information Administrator, or Registered Health Information Technician (RHIT).
Act 34 clearance.

Nice To Haves

Cardiology coding experience.
Graduation from an approved certified coding program.
Proficient computer skills, including knowledge of Microsoft Excel.

Responsibilities

Identify incomplete medical-record documentation, formulate physician queries to obtain missing documentation or clarification, and educate physicians on accurately completing the coding process.
Refer problem accounts to appropriate coding or management personnel for resolution.
Progress toward departmental coding accuracy standards during the first year and meet productivity standards within management-established time frames.
Train new and existing staff on code selection.
Investigate and resolve reimbursement issues, including denials, in a timely manner according to department standards.
Assign PQRS codes and assist in developing templates and processes to obtain appropriate documentation.
Apply standard coding guidelines, principles, and coding clinic guidance to assign appropriate ICD and CPT codes for all record types and ensure accurate reimbursement.
Review coding for accuracy and completeness before submission to the billing system, using CCI edits; use ACEP acuity level guidelines for ED coding.
Complete assignments in a timely manner, understand departmental workflow, maintain daily productivity statistics, and submit weekly productivity sheets to management.
Serve as a resource to other coding staff.
Use computer applications and resources needed to complete the coding process efficiently.
Adhere to internal and system-wide competencies, behaviors, policies, and procedures; participate in monthly coding meetings and share ideas for operational improvements.
Maintain continuing education by reviewing updated CPT Assistant guidelines and coding clinics.
Work with department management on coding interface development, enhancements, changes, and implementation.
Lead, participate in, or assist with departmental coding audits.