PB Coding Quality Analyst

University of Wisconsin Hospitals and Clinics Authority • Middleton, WI

1d • Remote

About The Position

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 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. 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.

Requirements

• High School Diploma or equivalent and Medical Coding Program Graduate Required
• 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
• 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) Upon Hire Required

Nice To Haves

• Graduate of a Health Information Technology program Preferred
• 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
• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) Preferred

Responsibilities

• Develop and implement an organized monitoring system for the QA program structure.
• Develop, conduct, and/or coordinate the review process for coding quality.
• Analyzing errors and formulating advice/education
• Identifying and advising staff on quality improvement opportunities
• Participating in individualized feedback for coding staff
• Summarizing results and identifying 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 - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED