CODING EDUCATION (AND QUALITY) MANAGER - University of Washington

Req #: 236810 Department: UW MEDICINE ENTERPRISE RECORDS & HEALTH INFO Posting Date: 08/23/2024 Closing Info: Open Until Filled Salary: $6,691 - $10,037 per month Shift: First Shift Notes: As a UW employee, you will enjoy generous benefits and work/life programs. For a complete description of our benefits for this position, **click here. (https://hr.uw.edu/benefits/wp-content/uploads/sites/3/2018/02/benefits-professional-staff-librarians-academic-staff-20221231\_a11y.pdf)** UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a **CODING EDUCATION MANAGER** . **WORK SCHEDULE** + 100% FTE, Days **POSITION HIGHLIGHTS** + Responsible for performing daily activities related to auditing, education and training of one or more content areas ERHI has coding oversight for + 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 + Function as part of a departmental team to accomplish department activities, and work cooperatively with other ERHI and UW Medicine staff to identify and resolve shared issues and concerns. In addition, they may participate in committees and serve on process improvement projects as assigned. **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** + Responsible for managing the daily activities of the Coding content-related responsibilities, responding to Coding questions and inquiries, serving as a content expert developing and delivering ad hoc training, investigating Coding concerns + Serve as an organization resource and content expert for current documentation and coding guidelines + Perform coding audits, analyze results and create audit reports. 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. Maintain written documentation of actions, activities or assessments in accordance with state and federal law, and institutional policies + Provide expert coding content knowledge to UW Medicine staff and other key stakeholders + Evaluate billing/coding/documentation behavior and identify recommendations for improvement + Provide consultation and best practice guidance to engage and influence outcomes. 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 in accordance with state and federal law, and institutional policies + Conduct proactive risk assessments as directed and report results to Director + Monitor developments in related rules, regulations and coding changes; make recommendations to the Director, as needed, to maintain coding compliance/quality and mitigate risk + Coordinate with and provide guidance to Compliance, Clinical Documentation Improvement, Utilization Management, Clinical Resource Management and Patient Financial Services on matters involving coding/billing compliance content related issues. 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 + Minimum of 3 years increasingly responsible related experience, including coding auditing, analysis, education and training + Coding and documentation expertise in either inpatient or outpatient facility coding Current coding certification of a minimum of one of the following credentials: RHIA, RHIT, CCS, CCS-P, CPC, CIC, COC, CIRCC, RCC. Extensive knowledge of ICD-9, ICD-10, CPT and HCPCS coding principles and guidelines. _Equivalent education/experience will substitute for all minimum qualifications except when there are legal requirements, such as a license/certification/registration_ **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. University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.