Coding Specialist 1 - Edits Coder

Go Huskies; Seattle, Northern (WA, KY); Hybrid; USD 61,000 - 88,000; Full time

Benefits offered by this job

Remote work

Job summary

UW Medicine is hiring a Coding Specialist 1 - Edits Coder for the Enterprise Records and Health Information Management department. The position supports ICD, CPT, and HCPCS coding reviews in Epic work queues to ensure accurate and compliant charges for clinic, outpatient, and related services.

The role requires a high school diploma (or equivalent), professional coding certification(s), and at least one year of coding experience. It is a 100% remote, full-time role with a Monday–Friday schedule.

Qualifications

• High school diploma or equivalent.
• RHIT/RHIA/CCS/CCS-P/CPC/CIC/COC/CIRCC/RCC/ROCC certification.
• One year coding experience or equivalent education/experience.

Responsibilities

• Validates codes entered at the point of care and/or by other charge sources by reviewing electronic data and making corrections based on documentation to support billable procedures and services.
• Reviews and resolves coding accounts failed validations, revenue guard, 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 procedure codes.
• Investigates and researches coding issues identified by Revenue Integrity (RI) and Patient Financial Services (PFS) related to inquiries, complaints and/or denials.
• Maintains Epic WQ turnaround times for coding error and edits resolution to prevent charge lags for facility and professional fee services.
• 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.
• May perform the work of lower level classifications of the Coding Specialist series.

Education

RHIT

RHIA

CCS

CCS-P

CPC

CIC

COC

CIRCC

RCC

ROCC

Job description

**UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for a **Coding Specialist 1 - Edits Coder** **WORK SCHEDULE*** 100% FTE* Mondays - Fridays* 100% Remote **POSITION HIGHLIGHTS**The Edits Coder position reports to the Outpatient Coding Supervisor within the Enterprise Records and Health Information Management department. Under the general supervision of the Manager of Facility Coding, and the direct supervision of the Supervisor of Outpatient Coding, the Edits Coder is responsible for implementing the mission and goals of Enterprise Records and Health Information, and incorporating a “patients are first” service culture. The Edits Coder 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 facility and/or professional fee coding and billing for Clinic, Outpatient and related charges needing coding review in compliance with State and Federal guidelines. **PRIMARY JOB 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 coding accounts failed validations, revenue guard, 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 procedure codes.* Investigates and researches coding issues identified by Revenue Integrity (RI) and Patient Financial Services (PFS) related to inquiries, complaints and/or denials. Makes coding corrections to resolve coding issues; supports RI by reviewing specified procedures for charge accuracy; reroutes accounts to correct coding team for coding resolution based on revenue codes.* Maintains Epic WQ turnaround times for coding error and edits resolution to prevent charge lags for facility and 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.* May perform the work of lower level classifications of the Coding Specialist series. **REQUIRED POSITION QUALIFICATIONS**High school diploma or equivalent AND 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. Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration.**Compensation, Benefits and Position Details****Pay Range Minimum:**$29.41 hourly**Pay Range Maximum:**$42.10 hourly**Other Compensation:**-**Benefits:**For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/**Shift:**First Shift (United States of America)**Temporary or Regular?**This is a regular position**FTE (Full-Time Equivalent):**100.00%**Union/Bargaining Unit:**SEIU Local 925 Nonsupervisory**ABOUT UW MEDICINE – WHERE YOUR IMPACT GOES FURTHER** UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW 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. All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest. **Our Commitment** The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81. To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or [e-mail]. 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.