Job Summary
UPMC Corporate Revenue Cycle is seeking a Coder II with experience in physician coding to assist specifically with anesthesia coding. This remote position involves reviewing physician, nursing, and ancillary documentation to assign accurate ICD and CPT codes, resolve coding denials, apply modifiers, and ensure optimal reimbursement. The role supports charge capture accuracy, handles coding edits and denial resolutions, and collaborates with management to improve workflows.
Responsibilities
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Review medical records to determine acuity, procedures, billable supplies, and diagnosis, ensuring medical necessity
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Apply ICD and CPT coding guidelines including modifiers and CCI edits to maximize reimbursement
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Monitor and resolve LMRP/CCI coding edits and denials timely
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Identify documentation gaps and draft physician queries for clarification
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Meet coding productivity and accuracy standards as set by management
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Participate in monthly coding meetings and contribute to process improvements
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Maintain daily productivity tracking and report weekly to management
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Utilize computer applications including MS Excel for coding and reporting
Qualifications
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High school diploma or equivalent required
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Minimum 3 years coding experience OR 2 years coding experience plus formal coding schooling
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CPC or CPC specialty certification required or eligible
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Graduate of an approved certified coding program preferred (including training in Anatomy, Physiology, Pharmacology, Medical Terminology, ICD and CPT coding)
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Proficient computer skills; MS Excel knowledge preferred
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Eligible for Act 34 clearance
Equal Opportunity Employer
UPMC is committed to diversity and inclusion and is an Equal Opportunity Employer/Disability/Veteran.