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Washington, District of Columbia, United States • Remote OK
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The analyst serves as a coding expert performing audits and providing education on ICD, DRG, CPT, and HCPCS guidelines. They are responsible for reviewing claim denials, developing training materials, and ensuring compliance with state and federal laws.
Requires a Bachelor's degree in Health Sciences, Business Administration, or a related field. Candidates must have at least 3 years of experience in coding auditing, analysis, and education.
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.
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
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.
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.
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.
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 [email protected].
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.
30,000 caring professionals with a single mission: to improve health for all people. A Higher Degree of Healthcare.
UW Medicine is an integrated clinical, research and learning health system with a single mission to improve the health of the public. Its faculty, staff, students and trainees are dedicated to delivering high- quality patient care and making important discoveries that lead to new approaches for the diagnosis, treatment and prevention of human disease. UW Medicine is home to one of the world’s largest and most comprehensive medical research programs as well as innovative learning programs for students, trainees and practitioners. As the only health system in Washington, Wyoming, Alaska, Montana and Idaho that connects research, education and patient care, UW Medicine provides a higher degree of healthcare, ranging from primary and preventive care to the most specialized care for complex medical conditions. UW Medicine includes Airlift Northwest, Fred Hutchinson Cancer Center, Harborview Medical Center, University of Washington Medical Center—Montlake, University of Washington Medical Center – Northwest, UW Medicine Primary Care, UW Physicians and UW School of Medicine. UW Medicine shares in the ownership of Children’s University Medical Group with Seattle Children’s. A Higher Degree of Healthcare.
Offices: Seattle, WA, US
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