Certified Coding Specialist I (Risk Adjustment)UPMC • Pittsburgh, Pennsylvania, United States
Certified Coding Specialist I (Risk Adjustment)
UPMC
- Pittsburgh, Pennsylvania, United States
- Pittsburgh, Pennsylvania, United States
À propos
Review inpatient, outpatient, physician, and emergency department records to assign accurate diagnosis and procedure codes
Apply your expertise in ICD-10-CM, CPT, and HCC risk adjustment coding to ensure proper classification of diagnoses
Analyze documentation such as discharge summaries, H&Ps, progress notes, consults, and operative reports
Identify and validate diagnoses submitted through claims by comparing them against clinical documentation
Audit coding for accuracy and completeness before submission-and make corrections when needed
Consistently meet quality (95% accuracy) and productivity standards
Track and maintain your daily coding productivity and time logs
Use coding tools, systems, and resources to work efficiently and accurately
How You'll Make an Impact Your work will directly support accurate risk adjustment and data integrity across the health plan. You'll help ensure that diagnoses are properly captured, which ultimately supports better care planning, reporting, and outcomes. What Helps You Succeed
Strong knowledge of medical terminology, anatomy, physiology, and pathology
Confidence working across multiple documentation types and care settings
A keen eye for detail and commitment to accuracy
The ability to manage your time independently in a remote environment
A proactive mindset-you're comfortable identifying issues and helping improve processes
What Else to Expect
Ongoing learning opportunities including coding education, seminars, and updated guidelines
A collaborative team environment where your input and ideas are valued
Monthly coding meetings to stay aligned and continuously improve
A structured, process-driven environment with clear expectations and support
If you're ready to bring your coding expertise to a team that values accuracy, collaboration, and continuous improvement-we'd love to hear from you.
Graduate of an AHIMA or AAPC Certified Coding Program that includes Anatomy & Physiology, Pharmacology and Medical Terminology.
5 years of total experience required.
Five for more years or risk adjustment experience highly preferred.
Knowledge of Microsoft Office.Licensure, Certifications, and Clearances:
Certified Coding Specialist (CCS) OR Certified Professional Coder (CPC) required.
Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
Compétences linguistiques
- English
Avis aux utilisateurs
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