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University of Pittsburgh Physicians is hiring a full-time Coder I to join their Women's Health billing and coding team! This position will be a Revenue Cycle focused position with room for growth within the Women’s Health department and within the Coding career ladder. The position will assist with all aspects of the revenue cycle, registration verification, reviewing office charges, surgeries, and deliveries, and working claim denials. The candidate will also assist with completing charge posting and reconciliation.

This position will work Monday through Friday, 7:00am to 3:30pm with some flexibility, no evenings, weekends, or holidays! this position will offer a hybrid work home opportunity, after completion of training period. Previous Women's Health experience and experience with registration and insurance is a plus.

Responsibilities:

• Utilize standard coding guidelines and principles and coding clinics to assign the appropriate ICD and CPT for all records to ensure accurate reimbursement. Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits.

• Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management.

• Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process.

• Utilize computer applications and resources essential to completing the coding process and to resolve basic coding edits efficiently.

• Refer problem accounts to appropriate coding or management personnel for resolution.

• Meet and maintain charge lag and coding productivity standards within the time frame established by management staff.

• Adhere to internal and system-wide competencies, behaviors, 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 reviewing updated CPT assistant guidelines and updated coding clinics.

• Make forward progress within the training period toward meeting coding accuracy standards of the departments within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management.

• High school graduate or equivalent.

Graduate of an approved certified coding program preferred. Curriculum includes Anatomy and Physiology, Medical Terminology, ICD-9-CM and CPT Coding Guidelines and Procedures. Proficient computer skills with MS excel knowledge preferred. In lieu of completed coding externship, 6 months experience.

Licensure, Certifications, and Clearances:

• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

UPMC has a Center for Engagement and Inclusions that is charged with executing leading-edge and next- generation diversity strategies to advance the organization’s diversity management capability and its national presence as a diversity leader. This includes having Employee Resources Groups, such as PRIDE Health or UPMC ENABLED (Empowering Abilities and Leveraging Difference) Network, that support the implementation of our diversity strategy.