Outpatient Coding Education Analyst

University of Washington; Olympia (WA); On-site; USD 69,576 - 107,628; Full time

Job summary

University of Washington invites applications for the Outpatient Coding Education Analyst role within ERHI. You will audit, educate and train in outpatient coding guidelines (ICD, DRG, CPT, HCPCS) and serve as a subject-matter expert for documentation and coding inquiries.

The position is 100% remote with a 100% FTE schedule, Monday through Friday; requires a bachelor’s degree in a health sciences discipline or related field and at least 3 years of coding auditing and education experience.

Qualifications

• Bachelor’s degree in a Health Sciences discipline, Business Administration or related field.
• Minimum of 3 years increasingly responsible related experience, including coding auditing, analysis, education and training.

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.
• Review DRG and CPT claim denials for commercial payers and maintain documentation of actions in accordance with laws and policies.
• Retains records per 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 and KPI-driven content.
• Develop and deliver role-specific training for ERHI Coding staff and implement monitoring, auditing and risk assessment activities.
• Manage or conduct audits per UW Medicine Audit Policy.

Education

Bachelor’s degree in Health Sciences or related field

Job description

Job Description

UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an OUTPATIENT CODING EDUCATION ANALYST. Candidates with pathology and at least one other outpatient specialty experience such as radiology or emergency department will be prioritized.

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 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.
• 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
• 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
• 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.

DESIRED

• Experience performing root cause analysis (RCA) and resolving coding claim denials
• 2 years of coding edit resolution experience

Compensation, Benefits and Position Details

Pay Range Minimum

$69,576.00 annual

Pay Range Maximum

$107,628.00 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

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.