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 Lead is responsible for assuming a leadership role with the Coding & Charge Capture Department, guiding daily production and workflow of coders when the supervisor is unavailable. S/he will possess a thorough knowledge of coding guidelines and will demonstrate effective problem-solving skills and work with more complex and/or specialized accounts/projects/assignments. The Lead will participate in on-the-job, desk level training thus s/he must possess superior coding knowledge and skills, support learning and development opportunities for staff, performing QA reviews on new coders, and effectively use one-on-one instructional techniques.
ESSENTIAL DUTIES: • Identify all billable services (regardless of location rendered) requiring professional fee billing, as determined jointly by UWP and the Clinical Department: o 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. o 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; i.e. new practice sites not on EHR). • Code all documented required professional services, ensuring all are coded using the appropriate CPT & ICD-10 codes. Ensure coded services, provider charges and medical record documentation meet appropriate guidelines or standards. • Review and resolve 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. Participate in “huddles” to facilitate timely and relevant feedback. • 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. Participate in “huddles,” Grand Rounds, or department specific sessions to facilitate timely and relevant feedback. • Provide targeted training to physicians and other providers regarding coding guidelines and requirements. • Provide targeted training to new coding staff or existing coding staff cross-training into another specialty. Perform QAs on the staff until he/she comes up to the QA standard. • In conjunction with Compliance Education Team and Physician Champion, assist with educational in-services for physicians, other providers and clinical staff relating to documentation compliance as well as new policies and procedures related to billing, as requested. • Exhibit high professionalism and confidentiality when addressing provider, clinical, coding staff, and compliance issues. • 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. Be prepared to bring recommended, feasible solutions to the issues you are observing. • Respond timely to deadlines for specialized accounts/projects/assignments. • Consistently maintain open communication with other Leads and Coding & Charge Capture Management Team. • Maintain Lead-On-Site day and duties. • Observe employees at work, provide feedback, and facilitate problem solving to enhance performance of team members: o Address employee’s specific gaps in skill or experience through guidance and encouragement. o Introduce new procedures or technologies. o Help build strong workplace relationships and promotes a positive work environment through open and constructive communication. o Motivate, encourage and challenge staff. o Provide help and support when needed. o Work collaboratively with the Trainers to develop effective desk level support training. o Mentor and train staff to support achievement of quality assurance expectations. • Review charges to ensure they are consistent with NCCI and MPFSB standards. • As necessary and appropriate, work with claims specialists, practice advisors, applications management, EPIC and other Supervisory or Managerial staff to resolve any billing issues. • Organize, update, and make readily accessible, all references, internal documents, policies and procedures. • Contribute to and support the corporate quality and production initiatives, by encouraging team and individual contributions to ensure our improvement efforts. • Perform other duties, as assigned.
MINIMUM QUALIFICATIONS: • 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 coding or equivalent education/experience.
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.