OUTPATIENT ANALYST (100% FTE, DAYS)
Apply NowCompany: University of Washington
Location: Seattle, WA 98115
Description:
UW Medicine Enterprise Records and Health Information (ERHI) has an outstanding opportunity for an OUTPATIENT ANALYST.
WORK SCHEDULE
100% FTE, Days
8:00 am - 5:00 pm
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.
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
Function as part of a departmental team to accomplish department activities, and work cooperatively with other ERHI and UW Medicine staff to identify and resolve shared issues and concerns.
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.
Provide education and training on the results of internal audits and partner with Compliance on external audit education
Provide expert coding content knowledge to UW Medicine staff and other key stakeholders.
In conjunction with the Director, develop and deliver role-specific training for ERHI Coding staff, develop and implement effective monitoring, auditing and risk assessment activities.
Monitor developments in related rules, regulations and coding changes; make recommendations to the Assistant Director, as needed, to maintain coding compliance/quality and mitigate risk.
Coordinate with and provide guidance to Compliance, Clinical Documentation Improvement, Utilization Management, Clinical Resource Management and Patient Financial Services on matters involving coding/billing compliance content related issues.
Perform coding audits, analyze results and create audit reports.
Review DRG and CPT claim denials for commercial payers.
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 Retention Schedule and department policy.
Evaluate billing/coding/documentation behavior and identify recommendations for improvement. Provide consultation and best practice guidance to engage and influence outcomes.
Review, analyze and determine effectiveness of training, assess effectiveness against entity/workforce member type/and industry KPI's (key performance indicators), and recommend enhancements to training content and user experience.
Manage or conduct audits, and ensure they are performed in accordance with the UW Medicine Audit Policy.
As a member of the Coding Analyst team, may perform any work that is necessary to complete department activities and meet established deadlines.
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
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.
Committed to attracting and retaining a diverse staff, the University of Washington will honor your experiences, perspectives and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.
The University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information.
To request disability accommodation in the application process, contact the Disability Services Office at [redacted] or [redacted].
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.
WORK SCHEDULE
POSITION HIGHLIGHTS
DEPARTMENT DESCRIPTION
PRIMARY JOB RESPONSIBILITIES
REQUIRED POSITION QUALIFICATIONS
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.
Committed to attracting and retaining a diverse staff, the University of Washington will honor your experiences, perspectives and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.
The University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information.
To request disability accommodation in the application process, contact the Disability Services Office at [redacted] or [redacted].
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.