Job description
The Coding Specialist 1 position reports to a Coding and Charge Capture Supervisor within the Coding and Charge Capture department at Faculty Practice Plan Services (FPPS) at UW Physicians.
Under the general supervision of a Manager of Coding and Charge Capture, and the direct supervision of a Supervisor of Coding and Charge Capture, the Coding Specialist 1 is responsible for implementing the mission and goals of Coding and Charge Capture, and incorporating a “patients are first” service culture. The Coding Specialist 1 is responsible for performing daily activities related to analyzing medical records to validate the correct coding assignment of International Classification of Disease (ICD), Current Procedural Terminology (CPT) and/or Healthcare Common Procedure Coding System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/Risk Adjustment Factor (RAF) and/or Care Gap review to ensure optimal reimbursement for professional fee coding and billing for Clinic, Outpatient, Inpatient, and related charges needing coding review in compliance with State and Federal guidelines.
This position is fully remote.
Responsibilities
Validates codes entered at the point of care and/or by other charge sources by reviewing electronic data and making corrections based on a review of all available electronic and other appropriate documentation to support all billable procedures and services.
Reviews and resolves accounts for coding issues like missing modifiers, incorrect modifiers, missing charges, incorrect charges, medical necessity edits, CCI edits, claim edits, and payor denials in Epic; verifies accuracy of ICD diagnosis codes and CPT/HCPCS codes.
Makes coding corrections to resolve coding issues; supports PFS by reviewing specified procedures for charge accuracy; reroutes accounts to correct coding specialist for coding resolution based on coding scenario.
Maintains Epic WQ turnaround times for coding error and edits resolution to prevent charge lags for professional fee services. Identifies potentially avoidable delays to timely billing and help identify systemic issues that contribute to delays in service or inefficient uses of resources to address root cause and prevent ongoing errors.
Identifies the need for documentation clarity to support the integrity of the record and for reimbursement compliance; identifies charge error trends and escalate to supervisor.
Performs special projects or other duties assigned.
Requirements
High school diploma or equivalent.
AND
One year coding experience or equivalent education/experience.
Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist – Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC).
AND
One year coding experience or equivalent education/experience.
OR
Equivalent education/experience
Desired
Candidates that are ready to sit for the exam in the next 6 months may be considered
Experience in an academic healthcare environment.
Experience and proficiency with Epic and/or Cerner products.
Proficient with MS Office suite.
Basic Knowledge of Office 365.
Ability to manage time effectively and to work in a high volume, high accuracy work environment with deadlines.
Ability to communicate effectively and to work in a collaborative team environment.
Ability to maintain confidentiality.
Committed to attracting and retaining a diverse staff, the University of Washington will honor your experiences, perspectives and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.
The University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information.
To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu.
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
Employees of the University of Washington are required to be fully vaccinated against COVID-19 unless a medical or religious exemption is approved. Being fully vaccinated means that an individual is at least two weeks past their final dose of an authorized COVID-19 vaccine regimen. As a condition of employment, newly hired employees will be required to provide proof of their COVID-19 vaccination. View the Final candidate guide to COVID-19 vaccination requirement webpage for information about the medical or religious exemption process for final candidates.
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