Job Description

UPMC Corporate Revenue Cycle is hiring a Coder II- Technical to join our Coding team! This position will be a work-from-home position working Monday through Friday during normal business hours.

In this role, you will be handling inpatient coding. You will review clinical documentation within the medical record to ensure that all patient resource utilization, principal diagnosis, secondary diagnoses, and PCS procedures have been coded accurately and completely in compliance with coding guidelines.

Responsibilities:

• Adhere to internal department 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 attending seminars, and updated coding clinics.
• Make forward progress within the training period toward meeting coding accuracy standards of 98% within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff.
• Code all diagnoses and procedures by assigning and verifying the proper ICD-10-CM and ICD 10 PCS codes. Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation available at the time of coding.
• Utilize computer applications and resources essential to completing the coding process efficiently, such as hospital information systems (Epic/Optum) , encoders and electronic medical record repositories. If applicable, abstract required medical and demographic information from the medical record and enter the data into the appropriate information system to ensure accuracy of the database. Correct any data to be in error after reviewing the medical record and comparing with system entries.
• Refer problem accounts to appropriate coding or management personnel for resolution
• 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 clearly indicating the number of hours worked, the number of coding hours, the number of average charts per hour, and number of minutes/hours spent on non-coding tasks.
• Determine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care and assign appropriate codes. Review appropriate documents in the patients’ charts to accurately assign a diagnosis and/or procedure. Ensure the diagnoses and procedures are sequenced in order of their clinical significance to accurately assign the appropriate DRG to guarantee accurate reimbursement on UPMC patients.
• 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. Consult with DRG Specialist when applicable during query process.

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