Outpatient Analyst

UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an OUTPATIENT ANALYST.

WORK SCHEDULE

8:00 am

• 5:00 pm

Mondays

• Fridays

100% FTE, Remote

POSITION HIGHLIGHTS

Performs daily activities related to coding auditing, education and training of the content areas ERHI has coding oversight for UW Medicine. Coding Education Serves as the organizational coding content expert; responding to general questions and inquires related to DRG, ICD, CPT and/or HCPCS coding

Monitors regulatory changes, engages in the development and implementation of auditing and monitoring plans, engages and participates in the creation and delivery of educational materials

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

Serves as an organization resource and content expert for documentation and coding guidelines

Provides expert coding content knowledge to UW Medicine staff and other key stakeholders

Coordinates with, and provides guidance to, Compliance, Clinical Documentation Improvement, Utilization Management, Clinical Resource Management, Revenue Integrity, Charge Master Operations and Patient Financial Services on matters involving coding and/or billing compliance related issues

Monitors developments in related rules, regulations and coding changes; makes recommendations to maintain coding compliance, quality and mitigate risk

Performs regular coding audits, analyze results and create audit reports. Provide individual and group education and training to Coding staff on the results of coding audits.

Trains new Coders to UW Medicine and/or Coders who have moved to a new Coding team.

Assists in the development and implementation of role specific coding training for ERHI staff; including the effective monitoring, auditing and risk assessment activities.

Reviews, analyzes and determines effectiveness of training, assess effectiveness against entity/workforce member type/and industry key performance indicators, and recommend enhancements to training content and user experience.

Reviews DRG and CPT claim denials for commercial payers

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

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 guidelines;

Proficient with MS Office suite

Basic Knowledge of Office 365

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.