PB Coding Quality Analyst

University of Wisconsin Hospitals and Clinics Authority•Middleton, WI

1d•Remote

About The Position

Work Schedule: 100% FTE, 40 hours per week. Scheduled shifts are flexible, 8:00 am – 4:30 pm CST. Hours may vary based on the operational needs of the department. To be eligible to work remotely, you must be in an approved remote work state for UW Health. We’ve included a link below to view the full list of approved remote work states. Approved Remote Work States Listing Be part of something remarkable Join the #1 hospital in Wisconsin! We are seeking a Coding Quality Analyst – Professional Billing to: Develop and implement an organized monitoring system for the QA program structure. Develop, conduct, and/or coordinate 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. 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).
Graduate of a Health Information Technology 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)
3 years progressive coding experience in multiple specialties (non-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

Nice To Haves

Experience in HCC Risk Adjustment Coding
3 years of experience in HCC Risk Adjustment (for HCC roles)
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.