Inpatient Coding Education Analyst

University of Washington; Seattle (WA); Remote; USD 83,000 - 104,000; Full time

Job summary

University of Washington in Seattle (UW Medicine ERHI) seeks an Inpatient Coding Education Analyst to lead auditing, education and training across inpatient coding areas. The role focuses on ICD-10-CM, CPT and HCPCS guidelines, DRG analysis, and policy development within a matrixed health system.

The successful candidate will design audits, deliver educational content, and partner with Compliance on external audits.

Qualifications

• Bachelor’s degree in Health Sciences, Business Admin or related field or equivalent
• Minimum 3 years of related experience incl. coding auditing and education/training
• Certifications: RHIT, RHIA, CCS, CCS-P, CPC, COC, CIRCC, RCC, ROCC
• Extensive knowledge of ICD-10-CM, CPT and HCPCS
• Strong communication, organizational, analytical and critical thinking skills
• Ability to work independently and in a matrixed organization
• Confidentiality and discretion with sensitive information
• Proficient in MS Office; basic knowledge of Office 365

Responsibilities

• Audit coding accuracy and educate staff based on results
• Review DRG and CPT denials and document actions
• Maintain records per UW policies and retention schedules
• Develop and deliver role-specific training for ERHI coding staff
• Monitor training effectiveness and update materials as needed
• Manage audits in line with UW Audit Policy

Skills

Coding audits

Education & training

ICD-10-CM CPT HCPCS

Communication

Independent work

Education

Bachelor’s degree in Health Sciences or related field

Equivalent combination of education/work experience

Tools

MS Office

Office 365

Job description

Seattle, Non-Campus

Full time

REQ-0000137770

Job Description

UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an INPATIENT CODING EDUCATION ANALYSTS.

WORK SCHEDULE

• 100% FTE
• Mondays - Fridays
• 100% Remote

POSITION HIGHLIGHTS

Performs daily activities related to auditing, education and training of one or more content areas ERHI has coding oversight for

Serve as an expert in Inpatient coding , respond to general coding questions (ICD, DRG, CPT and HCPCS), engage in the development and/or implementation of audit/monitoring plans, participate in the development and/or delivery of educational and outreach materials, report on unit activities, maintain unit records, monitor regulatory developments, and help develop Coding program policies and procedure

DEPARTMENT DESCRIPTION

Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction.

PRIMARY JOB RESPONSIBILITIES

• Serve as an organization resource and content expert for current documentation and coding guidelines
• Perform coding audits, analyze results and create audit reports and provide education and training on the results of internal audits and partner with Compliance on external audit education
• Review DRG and CPT claim denials for commercial payers and maintain written documentation of actions, activities or assessments (e.g., investigations, patient rights, audits, process improvement projects, corrective action plans, education and training plans) in accordance with state and federal law, and institutional policies
• Retains records in accordance with the UW Medicine Records Retention Schedule and department policy
• Evaluate billing/coding/documentation behavior and identify recommendations for improvement
• Review, analyze and determine effectiveness of training, assess effectiveness against entity/workforce member type/and industry KPI's and recommend enhancements to training content and user experience
• Maintain written documentation of actions, activities or assessments (e.g., investigations, audits) in accordance with state and federal law, and institutional policies
• Develop and deliver role-specific training for ERHI Coding staff, develop and implement effective monitoring, auditing and risk assessment activities
• Manage or conduct audits, and ensure they are performed in accordance with the UW Medicine Audit Policy

REQUIRED POSITION QUALIFICATIONS

• Bachelor’s degree in a Health Sciences discipline, Business Administration or related field; or an equivalent combination of education and/or work experience
• Minimum of 3 years increasingly responsible related experience, including coding auditing, analysis, education and training.
• Must hold one of the following certifications: RHIT (Registered Health Information Technician): RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist – Physician Based), CPC (Certified Professional Coder), COC (Certified Outpatient Coder), CIRCC (Certified Interventional Radiology Cardiovascular Coder), RCC (Radiology Certified Coder), ROCC (Radiation Oncology Certified Coder).
• Extensive knowledge of ICD-10-CM, CPT, and HCPCS coding principles.
• Strong communication, organizational, analytical, and critical thinking skills.
• Proven ability to work independently and collaboratively within a team.
• Experience working in a highly matrixed organization.
• Ability to manage competing priorities, meet deadlines, and handle high-volume, detail-oriented work.
• Strong interpersonal skills to establish positive working relationships across all levels of management and medical staff. Confidentiality and discretion in handling sensitive information.
• Proficient in MS Office Suite.
• Basic knowledge of Office 365.

Compensation, Benefits and Position Details

Pay Range Minimum:

$82,800.00 annual

Pay Range Maximum:

$104,400.00 annual

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:

Not Applicable

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 publicby 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 (https://policy.uw.edu/directory/po/executive-orders/eo-81-prohibiting-discrimination-harassment-and-sexual-misconduct/) .

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 (https://app.leg.wa.gov/RCW/default.aspx?cite=28B.112.080) .

University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.