Coder I - UPMC Trinity (Steubenville, OH)

UPMC Trinity Physicians Services is hiring a full-time Coder I to join their team in Steubenville, OH! If you are an experienced medical coding profession looking to join an inviting, collaborating team then this position could be right for you! 

This position will be responsible for charge entry, receipt entry, including but not limited to billing and coding requiring advanced knowledge to accurately correlate proper CPT and ICD-9 Coding. You will work with a team of coders to support the needs of the office. Previous coding experience is required, and a coding certification is highly preferred! 

This position will work Monday through Friday, daylight hours. No evenings, weekends, or holidays required! 


Responsibilities:
 

• Accurately correlates CPT and ICD-9 coding for all invasive procedures, surgeries, in-patient hospital, critical care and office billing. 
• Receipt entry to include, but not limited to, insurance payment posting and personal payment posting.
• Review operative reports for all specialties coordinating CPT coding to maximize reimbursement. 
• Analyze and investigate complex patient accounts to insure accuracy correcting any inaccurate information to maintain compliance with federal regulations.
• Review and processes necessary paperwork for patient and insurance refunds, write-off and AR follow up.
• Handles billing inquiries from office and patient regarding medical charges and insurance claims including telephone inquiries and direct personal inquiries.
• Knowledge of patient and third party receivables through established policies and procedures within state and federal regulations and guidelines.Reviews and maintains current CPT and ICD-9 coding and compliance guidelines. 
• Maintains frequent communications with physicians and physician office staff to insure accuracy of all billing and to adhere to proper billing guidelines. Interacts with insurance companies with extensive knowledge of Ohio and West Virginia guidelines. 
• Pursues payments from all major third party carriers, including Medicare, Blue Shield, Managed Care, Medical Assistance and Commercial.
• Maintains excellent communication with physician and physician office staff to assist in collection process.
• Knowledge of state and federal regulatory provisions, legal and governmental guidelines required for compliance.
• Review and analyze outstanding reports for accuracy with knowledge to determine status of claims, clearing claims, refiling claims, and identifying patient responsibility.