Outpatient Analyst

University of Washington Medical Center; United States; Remote; USD 71,000 - 90,000; Full time

Job summary

University of Washington Medical Center is seeking a Coding Auditor with education and training responsibilities within the Enterprise Records and Health Information unit. This role focuses on auditing, education, and policy development for coding across DRG, ICD, CPT and HCPCS, ensuring regulatory compliance and high-quality documentation.

You will respond to coding questions, develop and deliver training, and monitor changes to maintain coding accuracy.

Qualifications

• Bachelor's degree in Health Sciences or related field.
• Coding auditing, analysis and education/training experience.
• Certification in RHIT/RHIA/CCS/CCS-P/CPC/CIC/COC/CIRCC/ROCC or related coding credentials.

Responsibilities

• Serve as an organizational resource and content expert for current documentation and coding guidelines.
• Provide education and training on audit results and partner with Compliance on external audit education.
• Provide expert coding content knowledge to UW Medicine staff and stakeholders.
• Develop and deliver role-specific training for ERHI Coding staff and implement monitoring, auditing and risk assessment activities.
• Monitor coding regulations and changes; advise on compliance and risk mitigation.
• Coordinate with Compliance, CDI, Utilization Management and Patient Financial Services on coding/billing content issues.
• Perform coding audits, analyze results and generate audit reports.
• Review DRG and CPT denials for commercial payers.
• Document actions and maintain records per policy and law.
• Evaluate training effectiveness and improve content and UX.
• Manage audits and ensure alignment with UW Medicine Audit Policy.
• Contribute as needed to meet department deadlines.

Skills

Coding audits

Education & Training

Regulatory compliance

DRG/ICD/CPT knowledge

Education

Bachelor's in Health Sciences or related field

Job description

Job Description

100% FTE, Days
8:00 am - 5:00 pm
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.

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

Function as part of a departmental team to accomplish department activities, and work cooperatively with other ERHI and UW Medicine staff to identify and resolve shared issues and concerns.

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 and provide guidance to 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 (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 Retention Schedule and department policy.


• Evaluate billing/coding/documentation behavior and identify recommendations for improvement. Provide consultation and best practice guidance to engage and influence outcomes.


• Review, analyze and determine effectiveness of training, assess effectiveness against entity/workforce member type/and industry KPI's (key performance indicators), 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 and

Compensation, Benefits and Position Details

Pay Range Minimum:

$70,800.00 annual

Pay Range Maximum:

$90,000.00 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 the UW

Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.

UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.

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.