Coder I - UPMC Trinity (Steubenville, OH)

UPMC•Steubenville, OH

12d

About The Position

UPMC Trinity Physicians Services is hiring a full-time Coder I to join its team in Steubenville, Ohio. The position supports office operations by handling charge and receipt entry, billing, and coding, using advanced knowledge to accurately correlate CPT and ICD-9 codes. The Coder I works with a team of coders and communicates with physicians, office staff, patients, and insurance companies to support accurate billing, collections, and regulatory compliance. The schedule is Monday through Friday during daylight hours. No evenings, weekends, or holidays are required. Previous physician-office and coding experience is required, and a coding certification is highly preferred.

Requirements

High school diploma or GED.
One to three years of physician-office and coding experience.
Act 33 clearance with renewal.
Act 34 clearance with renewal.
Act 73 FBI clearance.

Nice To Haves

Coding certification is highly preferred.
Medical terminology or medical billing certificate from a college or technical school is preferred.

Responsibilities

Accurately correlate CPT and ICD-9 coding for invasive procedures, surgeries, inpatient hospital care, critical care, and office billing.
Enter receipts, including insurance payments and personal payments.
Review operative reports across specialties and coordinate CPT coding to maximize reimbursement.
Analyze and investigate complex patient accounts, correct inaccurate information, and maintain compliance with federal regulations.
Review and process paperwork for patient and insurance refunds, write-offs, and accounts-receivable follow-up.
Respond to billing inquiries from offices and patients about medical charges and insurance claims, by telephone and in person.
Apply established policies and procedures for patient and third-party receivables in accordance with state and federal regulations and guidelines.
Review and maintain current CPT and ICD-9 coding and compliance guidelines.
Communicate with physicians and physician-office staff to ensure billing accuracy and adherence to billing guidelines.
Interact with insurance companies, applying knowledge of Ohio and West Virginia guidelines.
Pursue payments from major third-party carriers, including Medicare, Blue Shield, Managed Care, Medical Assistance, and commercial carriers.
Communicate with physicians and office staff to assist with collections.
Apply knowledge of state and federal regulatory provisions and legal and governmental guidelines to maintain compliance.
Review and analyze outstanding reports, determine claim status, clear or refile claims, and identify patient responsibility.