Outpatient Coding Education Analyst

University of Washington Medical Center; United States; Remote; USD 70,000 - 108,000; Full time

Job summary

UW Medicine is seeking an Outpatient Coding Education Analyst within the Enterprise Records and Health Information (ERHI) team. The role focuses on auditing, education, and training across coding guidelines (ICD, DRG, CPT, HCPCS) and supports external and internal audits.

You will serve as a subject-matter expert, develop educational material, monitor regulatory changes, and maintain unit records. Qualifications include a Bachelor's in a health science or related field and at least 3 years of

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

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 in accordance with state and federal law, and institutional policies
• Retains records in accordance with UW Medicine Records Retention Schedule and department policy
• Evaluate billing/coding/documentation behavior and identify recommendations for improvement
• Review, analyse 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 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

Skills

Coding auditing

Education & training

Regulatory awareness

Education

Bachelor's degree in Health Sciences / 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, analyse 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.

DESIRED

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

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 public by 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, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.

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

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.