{"id":5580,"date":"2024-03-26T16:40:51","date_gmt":"2024-03-26T23:40:51","guid":{"rendered":"https:\/\/hr.uw.edu\/comp\/?page_id=5580"},"modified":"2025-05-05T15:45:43","modified_gmt":"2025-05-05T22:45:43","slug":"coding-specialist-1","status":"publish","type":"page","link":"https:\/\/v1cypwr8vx2.c.updraftclone.com\/comp\/classified-staff\/coding-specialist-1\/","title":{"rendered":"Coding Specialist 1"},"content":{"rendered":"

UW CODE AND REPRESENTATIVE GROUP<\/strong><\/p>\n

18211 Coding Specialist 1 (NE S SEIU 925 Non Supv)
\n22910 Coding Specialist 1 (NE H NI SEIU 925 Non Supv)<\/p>\n

BASIC FUNCTION<\/strong><\/p>\n

Participate in the review of clinical documentation and validate codes supported by patient health records; provide charge entry support and\/or abstract pertinent data from medical records to assist with data integrity and optimal reimbursement.<\/p>\n

DISTINGUISHING CHARACTERISTICS<\/strong><\/p>\n

Under general supervision, analyze 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 clinic work queues 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 and related charges needing coding review in compliance with state and federal guidelines.<\/p>\n

TYPICAL WORK<\/strong><\/p>\n

Validate 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 requiring Clinic coding;<\/p>\n

Review and resolve Clinic specific coding edits, claim edits and denials in Epic:<\/p>\n

Maintain turnaround times for coding reviews and understand charge lag impact for facility and professional fee services;<\/p>\n

Identify potentially avoidable delays for reimbursement and help identify systemic issues that contribute to delays in service or inefficient uses of resources to address root cause and prevent ongoing errors;<\/p>\n

Identify the need for documentation clarity to support the integrity of the record and for reimbursement compliance;<\/p>\n

Serve as a resource for current coding, billing and regulatory guidelines;<\/p>\n

Investigate and research billing and coding issues as related to inquiries, complaints or audit results, as requested;<\/p>\n

May assist with training of new staff;<\/p>\n

May perform special projects;<\/p>\n

Perform related duties, as required;<\/p>\n

May perform the work of lower level classifications of the Coding Specialist series.<\/p>\n

MINIMUM QUALIFICATIONS<\/strong><\/p>\n

High school diploma or equivalent<\/p>\n

AND<\/p>\n

Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist \u2013 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).<\/p>\n

AND<\/p>\n

One year coding experience or equivalent education\/experience.<\/p>\n

Equivalent education and\/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and\/or registration.<\/p>\n

CLASSIFICATION HISTORY<\/strong><\/p>\n

09\/01\/2017: New Classification: Coding Specialist series effective 09\/01\/2017 as agreed to with SEIU 925. New series incorporates the work previously performed in the Clinical Data Specialist series.
\n05\/01\/2023: Revised basic function and distinguishing characteristics<\/p>\n","protected":false},"excerpt":{"rendered":"

UW CODE AND REPRESENTATIVE GROUP 18211 Coding Specialist 1 (NE S SEIU 925 Non Supv) 22910 Coding Specialist 1 (NE H NI SEIU 925 Non Supv) BASIC FUNCTION Participate in […]<\/p>\n","protected":false},"author":96,"featured_media":0,"parent":12,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_lmt_disableupdate":"no","_lmt_disable":"no","footnotes":""},"class_list":["post-5580","page","type-page","status-publish","format-standard","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/v1cypwr8vx2.c.updraftclone.com\/comp\/wp-json\/wp\/v2\/pages\/5580","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/v1cypwr8vx2.c.updraftclone.com\/comp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/v1cypwr8vx2.c.updraftclone.com\/comp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/v1cypwr8vx2.c.updraftclone.com\/comp\/wp-json\/wp\/v2\/users\/96"}],"replies":[{"embeddable":true,"href":"https:\/\/v1cypwr8vx2.c.updraftclone.com\/comp\/wp-json\/wp\/v2\/comments?post=5580"}],"version-history":[{"count":6,"href":"https:\/\/v1cypwr8vx2.c.updraftclone.com\/comp\/wp-json\/wp\/v2\/pages\/5580\/revisions"}],"predecessor-version":[{"id":8818,"href":"https:\/\/v1cypwr8vx2.c.updraftclone.com\/comp\/wp-json\/wp\/v2\/pages\/5580\/revisions\/8818"}],"up":[{"embeddable":true,"href":"https:\/\/v1cypwr8vx2.c.updraftclone.com\/comp\/wp-json\/wp\/v2\/pages\/12"}],"wp:attachment":[{"href":"https:\/\/v1cypwr8vx2.c.updraftclone.com\/comp\/wp-json\/wp\/v2\/media?parent=5580"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}