Description

Job Description

UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an INPATIENT CODING EDUCATION ANALYST.

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 Inpatient 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.

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.
• Must hold one of the following certifications: RHIT (Registered Health Information Technician): RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist – Physician Based), CPC (Certified Professional Coder), COC (Certified Outpatient Coder), CIRCC (Certified Interventional Radiology Cardiovascular Coder), RCC (Radiology Certified Coder), ROCC (Radiation Oncology Certified Coder).
• Extensive knowledge of ICD-10-CM, CPT, and HCPCS coding principles.
• Strong communication, organizational, analytical, and critical thinking skills.
• Proven ability to work independently and collaboratively within a team.
• Experience working in a highly matrixed organization.
• Ability to manage competing priorities, meet deadlines, and handle high-volume, detail-oriented work.
• Strong interpersonal skills to establish positive working relationships across all levels of management and medical staff. Confidentiality and discretion in handling sensitive information.
• Proficient in MS Office Suite.
• Basic knowledge of Office 365.