University of Pittsburgh Medical Center-posted 5 months ago
Entry Level
Remote • Washington, PA
Hospitals

Join our dedicated healthcare team as a Coder II and play a vital role in ensuring accurate and timely medical coding. This entry-level position is ideal for detail-oriented individuals with a passion for healthcare data integrity and compliance. As a Coder II, you will support patient care and hospital operations by translating clinical documentation into standardized codes used for billing, reporting, and analysis.

  • Assigns present on admission (POA) indicators or inpatient diagnoses.
  • Identifies no-payment conditions (HAC) and report through established procedures.
  • Reviews entire medical record to ensure documentation is clinically supported prior to code assignment.
  • Reviews documentation to verify and correct the patient's discharge disposition when necessary.
  • Communicates documentation improvement opportunities and coding issues to the coding supervisor.
  • Queries the physician when necessary in order to ensure accurate coding/reimbursement.
  • Utilizes Sunrise to assist in coding patient records.
  • High school diploma or GED equivalent required.
  • Registered Health Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) certification or experience as shown below required.
  • Must successfully pass coding test with a ninety percent (90%) accuracy rate.
  • Two (2) years' experience as an inpatient medical record coder/abstractor within the last three (3) years or certification as shown above required.
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