The Coder I is responsible for coding and abstracting of Emergency Department records and outpatient diagnostic strip in accordance with the rules, regulations, and coding conventions of ICD-9 CM official guidelines for coding and reporting and AMA Coding Clinic and CPT Assistant. Enters abstracted data and codes into a computerized system and ensures compliance with hospital and departmental policies and procedures.
Responsibilities:
- Analyzes Emergency Department records and outpatient diagnostic strips and accurately assigns appropriate ICD-9 diagnoses and CPT procedures for billing purposes and external/internal reporting.
- Extracts required information from documentation and returns into abstracting system.
- Calls physician offices to obtain accurate diagnosis when necessary.
- Utilizes Medicare LCD policies and Sunrise when diagnosis codes to avoid unnecessary denials.
- Maintains and protects patient confidentiality.
Schedule: Monday-Friday, 8AM-4:30PM. Once trained, this position can work remotely!
Qualifications:
- High school diploma or GED equivalent required.
Licensure, Certifications, and Clearances:
- Completion of AHIMA approved Coding Certificate Program required.
- Registered Health Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Associate (CCA), or Certified Outpatient Coder (COC) credentials preferred or experience as below.
- Certification as shown above or one (1) year of coding experience using ICD-9 CM and CPT within the last three (3) years.
- Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran