Coding Specialist 2 - GIM-Hospitalist

University of Washington•Seattle, WA

13d•Remote

About The Position

Faculty Practice Plan Services (FPPS) has outstanding opportunities for a full-time (100% FTE, 40 hours/week), day shift, CODING SPECIALIST 2 - GIM - Hospitalist. This position is Remote. The primary responsibilities include identifying all billable services requiring professional fee billing by reviewing applicable data sources such as EPIC, ORCA, and Mindscape. The specialist will access and review electronic or other appropriate information to identify billable services, and request patient medical charts if necessary. They will code all documented required professional services using the appropriate CPT & ICD-10 codes, ensuring compliance with guidelines and standards. The role also involves reviewing and resolving coding denials and claim edits in Epic daily, and consulting with physicians to verify services rendered and documented, providing feedback on coding and documentation. Additionally, the specialist will assist physicians and their representatives with questions pertaining to professional fees.

Requirements

High school diploma or equivalent
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).
Two years coding experience
Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration.

Responsibilities

Identify all billable services (regardless of location rendered) requiring professional fee billing, as determined jointly by UWP and the Clinical Department.
Review all applicable data sources (EPIC, ORCA, Mindscape,) or other, as applicable, for new admissions, transfers, discharges, expirations, ambulatory procedures, ambulatory visits or other possible sources of billable services.
Access and review all available electronic or other appropriate information to identify billable services requiring professional fee billing.
As necessary, request patient medical charts (for non-electronic providers).
Code all documented required professional services, ensuring all are coded using the appropriate CPT & ICD-10 codes.
Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards.
Reviews and resolves coding denials and coding claim edits in Epic daily as part of routine operations.
Consult with physicians, as appropriate, to verify services rendered and documented.
Provide feedback to assist in provider understanding of coding and documentation issues and opportunities.
Assist physicians and/or their representatives with questions pertaining to professional fees.