Description

UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an OUTPATIENT CODING EDUCATION ANALYST (REQ-0000133802).

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.
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.

Requirements

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

3 to 4 years medical coding experience in inpatient or outpatient coding specialties (candidates with pathology and at least one other outpatient specialty experience such as radiology or emergency department will be prioritized)

Performing root cause analysis (RCA) and resolving coding claim denials

2 years of coding edit resolution experience

2 years of quality assurance experience of conducting audits on medical coding cases

2 to 3 years of training experience

Experience in an academic healthcare environment

Experience and proficiency with Epic products

Experience with 3M encoder