Outpatient Analyst

University of Washington; Seattle (WA); On-site; USD 70,800 - 90,000; Full time

Job summary

The University of Washington seeks a Remote Coding Auditor to conduct audits and training in coding practices. The position ensures compliance and educates staff about coding guidelines.

Ideal candidates will hold a Bachelor's degree in a related field, possess extensive knowledge of coding principles, and have at least four years of relevant experience. This regular position offers benefits and a competitive salary range of $70,800–$90,000 annually.

Qualifications

• Four years of related experience in coding auditing, analysis, and training.
• Certified as RHIT, RHIA, CCS, CPC, or other related credentials.
• Extensive understanding of coding principles and regulations.

Responsibilities

• Serve as a resource and expert for documentation and coding guidelines.
• Provide training on internal audit results and compliance requirements.
• Conduct coding audits and generate reports.
• Review claim denials for analysis and recommendations.
• Evaluate training effectiveness and recommend improvements.

Skills

Coding knowledge and experience

Expertise in auditing

Training and education skills

Knowledge of DRG, ICD, CPT coding

Education

Bachelor’s degree in Health Sciences, Business Administration, or related field

Job description

Position Highlights

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

Work Schedule

100% FTE, Days 8:00 am - 5:00 pm Monday - Friday 100% REMOTE

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. ERHI provides advice and resources related to the lifecycle management of all UW Medicine records. ERHI is an integral part of the Enterprise Revenue Cycle and has a unique role in the organization that supports both clinical and operational activities.

Primary Job Responsibilities

• Serve as an organization resource and content expert for current documentation and coding guidelines.
• Provide education and training on the results of internal audits and partner with Compliance on external audit education.
• Provide expert coding content knowledge to UW Medicine staff and other key stakeholders.
• In conjunction with the Director, develop and deliver role‑specific training for ERHI Coding staff, develop and implement effective monitoring, auditing and risk assessment activities.
• Monitor developments in related rules, regulations and coding changes; make recommendations to the Assistant Director, as needed, to maintain coding compliance/quality and mitigate risk.
• Coordinate with compliance, clinical documentation improvement, utilization management, clinical resource management and patient financial services on matters involving coding/billing compliance content related issues.
• Perform coding audits, analyze results and create audit reports.
• Review DRG and CPT claim denials for commercial payers.
• Maintain written documentation of actions, activities or assessments in accordance with state and federal law, and institutional policies.
• Evaluate billing/coding/documentation behavior and identify recommendations for improvement. Provide consultation and best practice guidance.
• 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.
• Manage or conduct audits, and ensure they are performed in accordance with the UW Medicine Audit Policy.
• As a member of the Coding Analyst team, may perform any work that is necessary to complete department activities and meet established deadlines.

Required Position Qualifications

• Bachelor’s degree in a Health Sciences discipline, Business Administration or related field, or equivalent combination of education and/or work experience.
• Coding knowledge and experience in facility and/or professional coding.
• Four years increasingly responsible related experience, including coding auditing, analysis, education and training.
• 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).
• Extensive knowledge of DRG, ICD, CPT and/or HCPCS coding principles.

Compensation, Benefits and Position Details

Pay Range Minimum: $70,800.00 annual.
Pay Range Maximum: $90,000.00 annual.
Shift: First Shift (United States).
Temporary or Regular?: This is a regular position.
FTE: 100.00%
Union/Bargaining Unit: Not Applicable

Benefits

For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/.

Equal Opportunity and Workplace Policies

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.