A remarkable team of nearly 30,000 caring professionals comes together each day at UW Medicine to improve the health of the public. For us, working here is not just a job—it’s a calling. As providers, faculty, scientists, staff and administrators from diverse backgrounds, we are united by our dedication to excellence in providing patient-centered care, conducting innovative research and teaching the next generation of healthcare professionals.
UW Medicine Faculty Practice Plan Services (FPPS) supports UW Physicians (UWP), a practice group for more than 1,800 physicians and other healthcare professionals associated with UW Medicine. UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Neighborhood Clinics, UW Medical Center - Northwest, the UW School of Medicine, Valley Medical Center, and Airlift Northwest. UWP members also practice at the Seattle Cancer Care Alliance, a partnership of UW Medicine, Fred Hutchinson Cancer Research Center, and Seattle Children’s Hospital.
The CODING SPECIALIST 2 is responsible for coordinating accurate and timely submission of professional fees. The employee ensures the medical record reflects adequate attending physician documentation per practice plan and CMS/HCFA guidelines. Close collaboration with clinical departments and physicians is required.
ESSENTIAL DUTIES & RESPONSIBILITIES: •Identify all billable services (regardless of location rendered) requiring professional fee billing, as determined jointly by UWP and the Clinical Department: oReview 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. oAccess 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. •Provide ongoing feedback to physicians and other providers regarding coding guidelines and requirements. May participate in “huddles,” Grand Rounds, or department specific sessions to facilitate timely and relevant feedback. •For services coded, enter charges and comments in Epic. •Utilize appropriate methods to ensure all documented professional services are submitted in a timely manner. •Resolve any (outpatient and inpatient) coding edits in the Epic charge review work queues. Bring system and repetitive issues to attention of supervisor and physician champions to provide timely feedback loop designed to address root cause and prevent ongoing errors. •Perform other duties, as assigned.
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.