PB Coding Quality Analyst

Job Description

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

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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.
  
  

At UW Health, you will have:

• An excellent benefits package, including health and dental insurance, paid time off and 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 - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
  
  

Qualifications

• 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). Required
• Graduate of a Health Information Technology program Preferred
  
  

Work Experience

• Non-HCC roles: 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) HCC-specific roles: Experience in HCC Risk Adjustment Coding Required
• 3 years progressive coding experience (for non-HCC roles) or 3 years of experience in HCC Risk Adjustment (for HCC roles) Required
• 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) Preferred
  
  

Licenses & Certifications

• For 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 Required
• For HCC-specific roles: Certified Risk Adjustment Coder (CRC) within 1 Year Required
• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) Preferred
  
  

Our Commitment to Social Impact and Belonging

UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Job Description

UW Medical Foundation benefits