Description

UW Medicine Enterprise Records and Health Information (ERHI) has an outstanding opportunity for INPATIENT and OUTPATIENT CODING EDUCATION ANALYSTS.

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. 
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

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. Coding and documentation expertise in either inpatient or outpatient facility coding Current coding certification of a minimum of one of the following credentials: RHIA, RHIT, CCS, CCS-P, CPC, CIC, COC, CIRCC, RCC. Extensive knowledge of ICD-9, ICD-10, CPT and HCPCS coding principles and guidelines. Proficiency with MS Office applications and electronic medical records systems. Proven communication, organizational, analytical and critical thinking skills. Successful experience in working both independently and in teams. Successful experience in working within a multifaceted, highly matrixed organization. Demonstrated ability to establish positive working relationships, effectively manage competing priorities, and accurately complete highly detailed work. Ability to communicate effectively with all levels of management and medical staff.

PREFERRED QUALIFICATIONS

Experience in an academic healthcare environment Demonstrated excellence in developing education for healthcare professional Experience and proficiency with Epic and/or Cerner Experience with 3M encoder