My Account My Job Application Status My Talent Community Activity Sign up for the Talent Community UPMC Careers Blog Saved Jobs ( 0 ) Toggle Navigation Home Physicians Nursing Career Areas Advanced Practice Professionals Imaging Respiratory Therapy Allied Health Laboratory Services Supply Chain and Warehousing Behavioral Health Nursing Surgical Services Corporate and Professional Nursing Support and Patient Care Support Students Customer Service & Administrative Support Pharmacy UPMC Enterprises Facilities, Hospitality, and Support Services Physicians UPMC International Health Information Management Research Additional Opportunities Information Technology Working Here Events Search Jobs Toggle Navigation Home Physicians Nursing Career Areas Advanced Practice Professionals Allied Health Behavioral Health Corporate and Professional Customer Service and Administrative Support Facilities, Hospitality, and Support Services Health Information Management Imaging Laboratory Services Information Technology Nursing Nursing Support and Patient Care Support Pharmacy Physicians Research Respiratory Therapy Supply Chain and Warehousing Surgical Services Equal Opportunity Employment Students UPMC Enterprises Additional Opportunities Working Here Events Job Search Results Certified Professional Coder (General Surgery Coding) 2026-05-15T13:33:50+00:00 8266557391 Current UPMC employees must apply in HR Direct. Certified Professional Coder (General Surgery Coding) Job ID: 8266557391 Status: Full-Time Regular/Temporary: Regular Shift: Day Job Work Arrangement: Remote Facility: Corporate Revenue Cycle Department: Rev Cyc Coding Union Position: No Salary Range: $ 21.14-35.13 USD APPLY NOW SAVE JOB UPMC Corporate Revenue Cycle is hiring a Certified Professional Coder to join our coding team to work on general surgery coding. This position will be a work-from-home position, working Monday through Friday during normal business hours. To be considered for this position, you must have three years of coding experience. We are looking for medical coders with general surgery coding expereince. In this role, you will have the same responsibilities as Coder II, but also be responsible for assigning PQRS codes and assist in the development of templates and processes to obtain the appropriate documentation. Provide feedback to the physicians on coding, documentation, edit, and denial issues. Responsibilities: Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification and provide education to physicians to accurately complete the coding process. Refer problem accounts to appropriate coding or management personnel for resolution. Make forward progress within the training period toward meeting coding accuracy standards of the departments within the first year of employment. Meet appropriate coding productivity standards within the time frame established by management staff. Provide training on code selection for new and existing staff. Investigate and resolve reimbursement issues, including denials, in a timely manner per department standards. Responsible for assigning PQRS codes and assists in the development of templates and processes to obtain the appropriate documentation. Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD and CPT codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc). Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding. Complete work assignments in a timely manner and understand the workflow of the department. Maintain daily productivity statistics and submit a weekly productivity sheet to management. Be a resource to other coding staff. Utilize computer applications and resources essential to completing the coding process efficiently. Adhere to internal and system-wide competencies, behaviors, 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 reviewing updated CPT assistant guidelines and updated coding clinics. Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions. Lead, participate in and/or assist with departmental coding audits. Qualifications: High school graduate or equivalent. 3 years physician coding experience in the applicable specialty. Experience with general surgery coding is preferred Graduate of an approved certified coding program preferred. Proficient computer skills with MS excel knowledge preferred. Licensure, Certifications, and Clearances: Certified Coding Specialist (CCS) OR Certified Coding Specialist – Physician-Based (CCS-P) OR Certified Professional Coder (CPC) OR Nationally Registered Certified Coding Specialist (NRCCS) OR Registered Health Information Administrator OR Registered Health Information Technician (RHIT) Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran APPLY NOW SAVE JOB SHARE JOB CAREER GROWTH Grow Your Nursing Career Spanning over 20 clinical specialties and more than 50 unique nursing roles, every nurse at UPMC can achieve and advance their goals with the My Nursing Career Ladder. Whether you’re looking to progress to an elevated role or continue your education, UPMC equips nurses with the resources, feedback, leadership, and benefits to help you succeed and achieve your career goals. Here’s how a few nurses have grown their careers through the years at UPMC: Clyde C. Michelle B. Clyde C. Clyde C. As a Professional Staff Nurse, Expert at UPMC Muncy, Clyde is a great example of someone who has taken advantage of UPMC’s My Nursing Career Ladder to grow his career while remaining in the same hospital location. Clyde’s Career Journey: ⦁ 2017: Professional Staff Nurse – UPMC Muncy ⦁ 2021: Sr. Professional Staff Nurse – UPMC Muncy ⦁ 2022: Sr. Professional Staff Nurse II – UPMC Muncy ⦁ 2022-present: Professional Staff Nurse, Expert – UPMC Muncy Michelle B. Michelle B. In her current role as a Professional Staff Nurse, Expert at UPMC Presbyterian, Michelle cares for patients with chronic and ongoing health issues as part of a Medical-Surgical unit. Michelle enjoys the daily change that Med-Surg nursing brings, and has found a career path that is interesting, meaningful, and full of opportunity. Michelle’s Career Journey: ⦁ 2019: Staff Nurse – UPMC Presbyterian ⦁ 2020: Professional Staff Nurse – UPMC Presbyterian ⦁ 2021: Professional Staff Nurse, BSN – UPMC Presbyterian ⦁ 2021: Sr. Professional Staff Nurse, BSN – UPMC Presbyterian ⦁ 2022: Sr. Professional Staff Nurse II, BSN – UPMC Presbyterian ⦁ 2023: Professional Staff Nurse, BSN, Expert – UPMC Presbyterian INSURANCE SERVICES DIVISION OF UPMC Advance Your Future A career with UPMC means more than just caring for patients – when you’re a part of UPMC Insurance Services Division, it means caring for more than four million insurance members, too. UPMC Insurance Services Division offers a full range of health insurance products and services to our network across the country, providing peace of mind, better health, and financial security to our members, along with limitless career opportunities and a rewarding mission to those on our team. About Us Opportunities on Our Team Recognized for Excellence Jump-Start Your Career About Us About UPMC Insurance Services Division As an integrated health care provider-insurer, UPMC goes beyond patient care to provide insurance products and services to millions of members. Our team partners with UPMC and community network providers to deliver knowledge and expertise that provides the highest quality care at the most affordable price, supporting our members through service, communication, and more. Fast Facts: We provide insurance products and services to over more than four million members. UPMC’s Insurance Services Division offers a full range of health insurance options including UPMC Health Plan, Workpartners, UPMC for Life , UPMC for You , UPMC for Kids , UPMC Community HealthChoices, and Community Care Behavioral Health. UPMC Health Plan is among the nation’s fastest-growing health plans. Opportunities on Our Team Opportunities on Our Team We’ve got a job that’s just right for you! UPMC Insurance Services Division team offers a vast array of career paths and opportunities , from career areas like customer service, data analytics, and information technology and even patient care roles like social work, nursing, and care management. Whether in non-clinical or patient-facing roles, our team impacts patients and members by providing quality experiences before, during, and after their care, building relationships in a unique and meaningful way. Search Jobs Recognized for Excellence Recognized for Excellence Be a part of an award-winning team! UPMC Insurance Services Division has been recognized for outstanding care and service with awards that include: U.S. News and World Report named UPMC for Life a “Best Insurance Company for Medicare Advantage” in Pennsylvania for 2024. The Human Rights Campaign Foundation has named UPMC Health Plan an “Equality 100 Leader in LGBTQ+ Workplace Inclusion” for 2023–2024. UPMC for Life ranked #1 in Customer Satisfaction* among Medicare Advantage Plans in Pennsylvania by J.D. Power. The Ethisphere Institute named UPMC as one of the World’s Most Ethical Companies for the sixth consecutive year. *Results are based on award-eligible plans in Pennsylvania by J.D. Power. For J.D. Power 2024 award information visit, jdpower.com/awards . Jump-Start Your Career Jump-Start Your Career Looking to launch a career with longevity and opportunity? With countless entry-level opportunities for recent graduates, along with tools and resources that empower you as you learn and grow, UPMC Insurance Services Division is the perfect place to get a career started. Interested in taking your career to new heights? Our career paths and advancement opportunities will provide you with chances to achieve your goals at every step. Search Jobs BENEFITS AND LIFE AT UPMC Why Work Here We know that you have many options when choosing where to build your career. So why choose UPMC? We can think of a few reasons. Work-Life Balance Finding the ideal balance to manage the important elements in your life. Development & Opportunities Enhancing your career through continued learning opportunities and/or advancement. Compensation Receiving competitive pay for the work that you do – base pay, merit, and premium pay. Performance & Recognition Rewarding performance that supports the goals and mission of UPMC. Benefits Providing assistance and security to meet the current and future needs of you and your family. Work-Life Balance Finding the ideal balance to manage the important elements in your life. Development & Opportunities Enhancing your career through continued learning opportunities and/or advancement. Compensation Receiving competitive pay for the work that you do – base pay, merit, and premium pay. Performance & Recognition Rewarding performance that supports the goals and mission of UPMC. Benefits Providing assistance and security to meet the current and future needs of you and your family. Benefits that Matter to You We’re committed to providing benefits that meet your needs and support your well-being in all areas of life. Earn over 5 weeks of paid time off every year Affordable medical, dental & vision coverage Student loan assistance and tuition reimbursement options Earn up to 8% of your eligible pay in retirement contributions from UPMC Employer-paid life insurance Benefits that Matter to You We’re committed to providing benefits that meet your needs and support your well-being in all areas of life. Earn over 5 weeks of paid time off every year Affordable medical, dental & vision coverage Student loan assistance and tuition reimbursement options Earn up to 8% of your eligible pay in retirement contributions from UPMC Employer-paid life insurance Benefits that Matter to You We’re committed to providing our employees with benefits that meet their needs and support their well-being in all areas of life. Earn over 5 weeks of paid time off every year Affordable medical, dental & vision coverage Student loan assistance and tuition reimbursement options Earn up to 8% of your eligible pay in retirement contributions from UPMC Employer-paid life insurance Support for You – and Your Family Your career doesn’t impact just you, but the people you care about, too. We’re making sure your career works for the whole family. Two weeks of paid parental leave Family planning resources Tuition assistance for dependents Comprehensive health care for dependents Emergency child and elder care options Flexible work arrangements Support for You – and Your Family Your career doesn’t impact just you, but the people you care about, too. We’re making sure your career works for the whole family. Two weeks of paid parental leave Family planning resources Tuition assistance for dependents Comprehensive health care for dependents Emergency child and elder care options Flexible work arrangements Support for You – and Your Family Your career doesn’t impact just you, but the people you care about, too. We’re making sure your career works for the whole family. Flexibility to choose the shifts and work arrangements that work best for your lifestyle Two weeks of paid parental leave Family planning resources Comprehensive health care for dependents Emergency child and elder care options A Culture That Cares At UPMC, you can find a home among people who share your passions and care about who you are. Employee resource groups Awards for champions of dignity & respect Center for Workplace Culture and Engagement Programs for veteran engagement A Culture That Cares At UPMC, you can find a home among people who share your passions and care about who you are. Employee resource groups Awards for champions of dignity & respect Center for Workplace Culture and Engagement Programs for veteran engagement A Culture That Cares UPMC is a place where you can find a home, no matter your gender, race, sexual orientation, age, or culture, and where you can meet people who share your passions and care about you. Employee resource groups Awards for champions of dignity & respect Center for Workplace Culture and Engagement Programs for Veteran Engagement Tools to Reach Your Potential Once you become a member of our team, the journey doesn’t stop there. UPMC is committed to supporting your growth and helping you build the career of your dreams. Up to $6,000 of annual tuition assistance Ongoing learning via LinkedIn Learning Accelerated career pathways for growth Robust instructor-led education and learning pathways Tools to Reach Your Potential Once you become a member of our team, the journey doesn’t stop there. UPMC is committed to supporting your growth and helping you build the career of your dreams. Up to $6,000 of annual tuition assistance Ongoing learning via LinkedIn Learning Accelerated career pathways for growth Robust instructor-led education and learning pathways Tools to Reach Your Potential Once you become a member of our team, the journey doesn’t stop there. UPMC is committed to supporting your growth and helping you build the career of your dreams. Unlimited educational possibilities, including no-cost BSN and MSN programs Robust career ladders for every nurse – no matter your specialty, location, or career stage Up to $6,000 of annual tuition assistance Ongoing learning opportunities Expansive Opportunity Where do you want to go with your career? Wherever it is, UPMC can take you there. 100,000 employees 40+ hospitals and 800+ doctors’ offices and outpatient sites Dozens of career ladders to climb International locations State-of-the-art technology Expansive Opportunity Where do you want to go with your career? Wherever it is, UPMC can take you there. 100,000 employees 40+ hospitals and 800+ doctors’ offices and outpatient sites Dozens of career ladders to climb International locations State-of-the-art technology Expansive Opportunity Where do you want to go with your career? Wherever it is, UPMC can take you there. 100,000 employees 40+ hospitals and 800+ doctors’ offices and outpatient sites International locations State of-the-art technology LEARN MORE ABOUT BENEFITS * Note: Benefits described may not be applicable to all staff. Read More about Nursing at UPMC Never Too Late: Kendra’s UPMC Journey After working as a nursing assistant for 16 years, Kendra took the leap to go back to nursing school and become an RN. LEARN MORE Med-Surg Nursing in 4 Words: UPMC Nurses Share We asked our nurses to shed some light on what Med-Surg nursing means to them. Get to know Med-Surg nursing – in four words – from UPMC nurses! LEARN MORE Where Passion Meets Purpose: Leah’s UPMC Story Starting her career in Environmental Services, Leah shares how she fell in love with health care and became a nurse. LEARN MORE Read More about UPMC Insurance Services Division Why Data Analytics Matter to UPMC’s Mission In UPMC Insurance Services Division, analysts work to understand, innovate, and improve the products and services UPMC provides. LEARN MORE The Game of Life is About More Than Winning: Eddie’s UPMC Outlook Eddie S. shares how his passion for football, fishing, and friendship shapes his life and his career with UPMC Health Plan. LEARN MORE From the U.S. Army to UPMC Health Plan We asked our nurses to shed some light on what Med-Surg nursing means to them. Get to know Med-Surg nursing – in four words – from UPMC nurses! 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Explore our blog to learn what it’s like working at Enterprises and learn about the passions and perspectives of the folks who make up our UPMC team. EXPLORE THE BLOG Get the Inside Scoop Curious about the culture, roles, and people here at UPMC? The UPMC Careers blog is a great place to read more employee stories, get career tips, and learn about the passions and perspectives of folks who make up our UPMC team. EXPLORE THE BLOG Join Our Talent Community Whether you’ve already applied or are just interested in learning more, stay connected with our team and get updates about career opportunities with UPMC. JOIN NOW Join Our Talent Community Search Jobs Join Our Talent Community Search Jobs CAREERS Home Physicians Nursing Career Areas Working Here Events Search Jobs LEARN MORE UPMC Careers Blog UPMC.com SUPPORT FAQs Request Accommodations Report Technical Issues FOLLOW US Toggle Navigation UPMC is an Equal Opportunity Employer Employment Scam Alert E-Verify Program Privacy and Terms
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