UPMC

UPMC Corporate Revenue Cycle is hiring a Coder II to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. As a Coder II, you will review all pertinent physician, nursing and ancillary documentation in the medical record. Depending on type of service and place of service, you will determine the level of acuity, procedure performed, billable supplies and diagnosis to substantiate medical necessity. You will review and sequence all codes to to maximize reimbursement and address any potential bundling issues. Apply modifiers as needed. LMRP/CCI edit and coding denial resolution. Responsibilities: Utilize computer applications and resources essential to completing the coding process efficiently. Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management staff. Refer problem accounts to appropriate coding or management personnel...

UPMC Corporate Revenue Cycle is hiring a Coder I- Profee to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. This position will be working on Professional (Physician) Coding Denials. We are looking for Coders who have prior denial experience. In this role, you will assign ICD and limited CPT codes. The Coder will review the physician documentation to determine the appropriate ICD-10 code and primarily verify the CPT code, but in some cases, you may assign basic CPT codes. You will resolve basic coding edits, complete charge processing, and ensure diagnosis codes meet local medical necessity guidelines for ancillary tests that were ordered. This will require knowledge of billing and coding guidelines. Additionally, you will utilize coding resources (CCI edits, 3M, ICD and CPT Publications) along with any other applicable specialty reference material to ensure accurate coding. Responsibilities:...

UPMC Corporate Revenue Cycle is hiring a Coder III to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. As the Coder III you will have all responsibilities of coder trainee, coder I, II plus the following: Monitor and responds to accounts on Pre-Bill edit and error reports. Assist with training other coders as requested. Perform PHC4 coding corrections; provides feedback to coders who made errors. Monitor the Daily Cirius Error report to ensure that there are zero accounts exceeding the expected completion timeframe. Review and respond to the Pre-Bill Edit report issues to ensure timely billing. Assist with special projects as requested. We are looking for coders with prior experience with interventional radiology and cardiology CPT coding to join the team. If you are ready to take the next step in your coding career, look no further! Responsibilities: Determine diagnoses that were treated,...

UPMC is hiring a full-time Certified Professional Coder to support their Women's Health Departments! This position is a remote position, but will be required to work onsite at an office location during our training period. Candidates must be located within a 60-mile radius of Pittsburgh or willing to relocate to the area. Our Women's Health decentralized coding team provides specialized coding support across multiple subspecialties, ensuring accurate and compliant claim submission for a diverse range of services. The team is experienced in handling complex subspecialty claims and coding scenarios unique to the Women's Health service line, including OB/GYN, Uro-gynecology, and Minimally Invasive Surgeries. With a focus on quality, collaboration, and operational efficiency, the team supports timely charge capture and revenue integrity across multiple practice locations across Western PA. The Certified Professional Coder supports Women's Health services by reviewing and releasing...

Coder II UPMC Corporate Revenue Cycle is hiring a Coder II to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. In this role, you will be handling same-day surgery and observation coding. Coding diagnosis & procedure codes ICD10 & CPT codes and charging for injections, infusions, hydrations, and reconciling NCCI edits. Responsibilities: Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD-10-CM, CPT and DSM IV codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc). Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding, or hospital specific acuity level module as needed. Adhere to internal department policies and procedures to ensure efficient work...

Coder II UPMC Corporate Revenue Cycle is hiring a Coder II to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. As a Coder II, you will review all pertinent physician, nursing and ancillary documentation in the medical record. Depending on type of service and place of service, you will determine the level of acuity, procedure performed, billable supplies and diagnosis to substantiate medical necessity. You will review and sequence all codes to maximize reimbursement and address any potential bundling issues. Apply modifiers as needed. LMRP/CCI edit and coding denial resolution. Responsibilities: Utilize computer applications and resources essential to completing the coding process efficiently. Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management staff. Refer problem accounts to appropriate coding or management personnel for...

Medical Oncology Coder UPMC Hillman Cancer Center at the Divine Providence Campus in Williamsport is currently hiring a full-time Medical Oncology Coder. This position offers a consistent day shift schedule from 8:00 AM to 4:30 PM, totaling 40 hours per week. This is a great opportunity to join a dedicated oncology team and contribute to accurate, compliant coding that supports high-quality patient care. This position requires candidate to be a Certified Professional Coder (CPC). This is a hybrid position. The initial phase of employment will require on-site work at UPMC Hillman Cancer Center in Williamsport, PA for several months. After this period, mandatory attendance for monthly meetings and other required on-site sessions will continue. Ideally, the candidate will work minimum one day per week in the office at UPMC Hillman Cancer Center, with the remaining time remote. Responsibilities Query physicians when documentation is inadequate, ambiguous, or unclear to...

UPMC Corporate Revenue Cycle is hiring a Coder II- Profee to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. In this role, you will be working on claim edits across all specialties. As the Coder II, you will review all pertinent physician, nursing, and ancillary documentation. Depending on the type of service and place of service, you will determine the level of acuity, procedure(s) performed, billable supplies, and diagnosis to substantiate medical necessity. As well as review and sequence all codes to maximize reimbursement and address any potential bundling issues. The position will also handle LMRP/CCI edit and coding denial resolution. Responsibilities: Utilize computer applications and resources essential to completing the coding process efficiently. Meet and maintain charge lag and appropriate coding productivity standards within the time frame established by management staff....

Certified Professional Coder UPMC is hiring a full-time Certified Professional Coder to support their Women's Health Departments! This position is a remote position, but will be required to work onsite at an office location during our training period. Candidates must be located within a 60-mile radius of Pittsburgh or willing to relocate to the area. Our Women's Health decentralized coding team provides specialized coding support across multiple subspecialties, ensuring accurate and compliant claim submission for a diverse range of services. The team is experienced in handling complex subspecialty claims and coding scenarios unique to the Women's Health service line, including OB/GYN, Uro-gynecology, and Minimally Invasive Surgeries. With a focus on quality, collaboration, and operational efficiency, the team supports timely charge capture and revenue integrity across multiple practice locations across Western PA. The Certified Professional Coder supports Women's Health...

UPMC Corporate Revenue Cycle Hiring A Coder II- Profee This position will be a work-from-home position working Monday through Friday during business hours. This role will have the same responsibilities as a Coder I. The position will review all pertinent physician, nursing, and ancillary documentation. Depending on the type of service and place of service, you will determine the level of acuity, procedure(s) performed, billable supplies, and diagnosis to substantiate medical necessity. As well as review and sequence all codes to maximize reimbursement and address any potential bundling issues. The Coder II will apply modifiers as needed. The position will also handle LMRP/CCI edit and coding denial resolution. We are looking for coders with prior experience in ENT coding to join the team. If you are ready to take the next step in your coding career, look no further! Responsibilities: Utilize computer applications and resources essential to completing the coding process...