PB Coding Quality Analyst

UW Health • Middleton, WI

1d • Remote

About The Position

We are seeking a Coding Quality Analyst – Professional Billing to develop and implement an organized monitoring system for the QA program structure. This role involves developing, conducting, and/or coordinating the review process for coding quality. This includes analyzing errors and formulating advice/education, identifying and advising staff on quality improvement opportunities, participating in individualized feedback for coding staff, and summarizing results and identifying trends for specific educational opportunities. The analyst will also prepare summary reporting of the coding review results as requested.

Requirements

• High School Diploma or equivalent and Medical Coding Program Graduate. Two (2) years of relevant coding experience may be considered in lieu of Medical Coding Program.
• Experience with coding concepts (Current Procedural Terminology (CPT), International Classification of Disease 10th Edition-Clinical Modification (ICD-10-CM), and Health Care Procedure Coding System (HCPCS))
• 3 years progressive coding experience (for non-HCC roles) or 3 years of experience in HCC Risk Adjustment (for HCC roles)
• Certification as Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P) Upon Hire Required

Nice To Haves

• Graduate of a Health Information Technology program
• 3 years progressive coding experience in multiple specialties (non-HCC roles) or 3 years HCC Risk Adjustment Coding at a large health system or academic medical center (for HCC roles)
• Certified Risk Adjustment Coder (CRC) within 1 Year
• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)

Responsibilities

• Develop and implement an organized monitoring system for the QA program structure.
• Develop, conduct, and/or coordinate the review process for coding quality.
• Analyze errors and formulate advice/education.
• Identify and advise staff on quality improvement opportunities.
• Participate in individualized feedback for coding staff.
• Summarize results and identify trends for specific educational opportunities.
• Prepare summary reporting of the coding review results as requested.

Benefits

• health and dental insurance
• paid time off
• retirement plans
• Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.
• Access to UW Health’s Wellness Options at Work that support employee/family well-being.
• Tuition reimbursement eligibility after 1 year of employment

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees