Certified Coding Specialist II (Remote)-HPL

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UPMC is seeking a Certified Coding Specialist II to join our team in a remote role working Monday through Friday during daylight hours. The Certified Coding Specialist II is responsible for reviewing physician documentation and identifying trends and missing documentation and diagnosis codes. This position requires the ability to problem solve and effectively communicate in a professional manner with staff, other health care professionals, and the management team. The role also identifies topics for training and education and assists with the training of new staff.

Responsibilities:

• Assist with training new staff for inpatient, outpatient, physician, and ED coding. Code inpatient, outpatient, physician, and ED documents as necessary.

• Assign Risk Adjustment HCC diagnoses by thoroughly reviewing all documentation in the medical record utilizing knowledge of anatomy, physiology, medical terminology, and pathology.

• Review the discharge summary, history and physical, physician progress notes, consultation reports, operative records, emergency room record to accurately assign a diagnosis and / or procedure.

• Review appropriate documents to accurately assign a Risk Adjustment HCC diagnosis.

• Review coding for accuracy and completeness prior to submission. Utilize standard coding guidelines and principles and coding clinics to assign the appropriate ICD-10- CM and CPT codes.

• Complete coder productivity and time log daily.

• Complete work assignments in a timely manner.

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

• Meet coding accuracy standards of 95% as well as coding productivity standards.

• 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, reviewing updated CPT assistant guidelines and updated coding clinics.

• Responsible for correcting any data found to be in error after reviewing the medical record and comparing with system entries.

• Performs in accordance with system-wide competencies/behaviors.

• Performs other duties as assigned.

• Performs special projects as assigned.

• Graduate of an AHIMA or AAPC Certified Coding Program that includes Anatomy & Physiology, Pharmacology and Medical Terminology.

• 7-10 years of total experience.

• Knowledge of Microsoft Office.Licensure, Certifications, and Clearances:Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) required

• Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC)

• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran