Full Time Drg Analyst Jobs (NOW HIRING)

UW Medicine Enterprise Records and Health Information has an outstanding opportunity for anOUTPATIENT CODING EDUCATION ANALYST. Candidates with pathology and at least one other outpatient specialty experience such as radiology or emergency department will be prioritized.

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 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

REQUIRED POSITION QUALIFICATIONS

• 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.

DESIRED

• Experience performing root cause analysis (RCA) and resolving coding claim denials

• 2 years of coding edit resolution experience

UW Medicine - Where your Impact Goes Further
UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals.
All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.