Outpatient Analyst

University of Washington Medical Center•Washington, DC

5d•$70,800 - $90,000•Remote

About The Position

The Enterprise Records and Health Information (ERHI) department is seeking an Outpatient Analyst to perform daily activities related to auditing, education, and training for coding oversight areas. This role involves responding to coding questions, developing audit plans, creating educational materials, reporting on unit activities, monitoring regulatory developments, and contributing to coding program policies and procedures. The analyst will function as part of a departmental team, collaborating with other ERHI and UW Medicine staff to resolve issues. ERHI is a Shared Service Department that manages all aspects of the patient medical record, including governance, integrity, documentation, coding, billing, release, and access management, supporting both clinical and operational activities within the Enterprise Revenue Cycle.

Requirements

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.

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.
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 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 in accordance with state and federal law, and institutional policies.
Retain 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 the effectiveness of training, assess effectiveness against entity/workforce member type/and industry KPIs, 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.
Perform any work that is necessary to complete department activities and meet established deadlines.