UNIVERSITY OF WASHINGTON: Coding Specialist 1 - Remote/Hybrid

Employer: University of Washington

Job Description:
Faculty Practice Plan Services (FPPS) is looking for a full-time Coding Specialist 1.


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.

Responsibilities include:
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.

High school diploma or equivalent.
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).
One year coding experience or equivalent education/experience.
Equivalent education/experience

*Candidates that are ready to sit for the exam in the next 6 months may be considered*

University of Washington Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals. UW Medicine owns or operates Harborview Medical Center, Valley Medical Center, UW Medical Center, UW Medicine Center – Northwest, a network of UW Medicine Primary Care, UW Physicians, UW School of Medicine, Airlift Northwest, and other owned, operated, or affiliated entities as appropriate. In addition, UW Medicine shares in the ownership and governance of Children’s University Medical Group and a partnership among UW Medicine, Fred Hutchinson Cancer Research, and Seattle Children’s.

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.

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 a leader in environmental stewardship & sustainability and committed to becoming climate neutral. The University of Washington is a leader in environmental stewardship & sustainability and committed to becoming climate neutral.

Contact Person:
Location: • ,
Application Method: Apply Online
Base Pay: $4,314 - $6,176/month

Posted on February 28, 2023

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