Outpatient Analyst

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.
• Maintain coding compliance/quality and mitigate risk by monitoring developments in related rules, regulations and coding changes; make recommendations to the Assistant Director, as needed.
• 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.

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.

Compensation and Benefits

Pay Range: Minimum $70,800.00 annual, Maximum $90,000.00 annual
Benefits: Visit this link for details.

Work Schedule

100% FTE, Days 8:00 am - 5:00 pm Mondays - Fridays
100% REMOTE POSITION

About The UW

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.