UPMC

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...

UPMC Mercy Supervisor Opportunity UPMC Mercy is hiring a Full Time Supervisor for the Medical Staff Office! This position will work Monday-Friday during daylight hours. Purpose: Supervises the Medical Staff office including but no limited to: the oversight of the credentialing and re-credentialing process, maintenance of the credentialing database and physician rosters, and communications with physician offices. Provides support for the Director of the Medical Staff office and the Medical Staff Committee Structure. Responsibilities: Supervises the Medical Staff application and/or renewal processes. Performs application processing, data entry and verification functions according to established policies, procedures and guidelines. Along with Director coordinates all medical staff social functions including but not limited to the Annual Holiday and Golf outings. Assist Director in all aspects of the department operations and functions and acts as a resource to the staff...