This classification is governed by a negotiated labor contract and is subject to union shop provisions. For more information about union shop provisions, visit Union Information
This position provides opportunities to work in a fast-paced, challenging, diverse and rewarding environment. As an employee you will enjoy generous benefits and work/life programs. For detailed information on Benefits for this position, click here.
PLEASE NOTE THAT THIS POSITION WAS ORIGINALLY POSTED AS A PART-TIME (50% FTE) - IT HAS BEEN CHANGED TO REFLECT A FULL-TIME FIRST SHIFT -(100% FTE)POSITION - CURRENT APPLICANTS NEED NOT REAPPLY
As the region's only Level I Trauma center, Harborview Medical Center (HMC) is well known for innovations and excellence in trauma care and its centers of emphasis: Trauma, Burn, Neurosciences, AIDS/STD, Center for Advanced Reconstruction and Rehabilitation (CARER), and mentally-and medically- vulnerable populations. In addition to the centers of emphasis, HMC serves a mission population for King County. Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region. HMC is owned by King County and managed by the University of Washington (UW) and serves as a training site for UW's School of Medicine. The UW is proud to be one of the nation's premier educational and research institutions. Our people are the most important asset in our pursuit of achieving excellence in education, research, and community service. Our staff not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, artistic pursuits, and natural beauty.
Our HIM CODING department has an outstanding opportunity for a FULL TIME(100%)FTE CLINICAL DATA SPECIALIST-CODER
These individuals will:
Under general direction assign International Classification of Diseases ICD, Current Procedural Terminology (CPT) and Evaluation & Management(E&M)codes to diagnoses and operative procedures for optimal physician and facility fee billing. Perform data entry and abstract pertinent data from medical records to insure data integrity and optimal reimbursement. Design quality assurance studies and abstract data; perform data verification and transfer data between computer systems.
1. Analyze clinical data and interpret information. 2. Assign ICD-9-CM codes to complex trauma diagnoses and procedures in an integrated system of outpatient records. 3. Abstract patient data to insure data integrity, accurate reimbursement, proper case mix and hospital decision support. 4. Review patient records such as nursing documentation and treatment records, to determine the charges for that visit. 5. Complete a professional fee sheet with the proper E&M level codes for each record reviewed utilizing physician fee coding guidelines to assure proper billing of each record. 6. Investigate and research billing and coding issues as related to inquiries, complaints, or audit results. 7. Serve as a resource for current coding, billing and regulatory guidelines. 8. Perform audits to verify accuracy, integrity and quality of data. 9. Evaluate accuracy and completeness of supporting documentation. 10. Provide support to medical center physicians and staff for documentation and coding review questions. 11. Identify the integrity of the documentation in the patient records. Query physician for clarification of documentation issues and request record addendum to make that clarification. 12. Assist in the development and maintenance of policies and procedures for coding. 13. Assist in the development and maintenance of the coding manual and standards 14. Communicate with providers who are clarifying documentation for areas such as a problem list, reason for visit, care plan, diagnoses, procedures and pharmaceuticals. 15. May direct or coordinate the work with others staff members. 16. May train new staff at times. 17. Perform special projects and related duties as required.
Requirements: Certified as a Registered Health Information Technician (RHIT) AND one year of ICD and CPT coding experience using a broad knowledge of coding standards and guidelines OR equivalent education/experience.
Desired: One year coding experience preferred at a Level I Trauma Center, to include burns, multiple trauma, Neuro/Ortho surgical catastrophic injury-related diseases, and/or medical complications, using a broad knowledge of coding guidelines and standards.
Comprehensive knowledge of federal health care billing rules and regulations.
Experience with E&M, ICD-9-CM, CPT and HCPCS coding.
One year coding experience at a level I trauma center, to include burns, multiple trauma, Neuro/Ortho surgical catastrophic injury related diseases and/or medical complications using a broad knowledge of coding guidelines and standards. Proficiency with PowerPoint, MS Word and Excel.
-Experience or education in utilization management and InterQual criteria, a plus. -Experience with health care billing, coding, and compliance, a plus.
-Excellent and effective oral and written communication skills. -Self-motivated, detail-oriented and highly organized skill set. -Equivalent work experience may substitute for education requirements. -Comprehensive knowledge of Federal health care billing rules and regulations. -Experience with E&M, CPT, ICD-9 and HCPCS coding.
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 undergra...duate 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.