Coding Quality Analyst – HCC/Risk Adjustment - University of Wisconsin Hospitals and Clinics Authority

Work Schedule :

This is a full-time, 1.0 FTE position that is 100% remote. Hours may vary based on the operational needs of the department. Applicants hired into this position can work from most states. This will be discussed during the interview process.

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 to:

• Perform retrospective reviews for all HCC patients.
• Develop HCC Coding Guidelines for medical coding Specialists.
• Collaborate with OP CDI staff and develop and maintain training materials for all HCC Coding areas.
• Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM diagnosis codes mapped to HCCs.

At UW Health, you will have :

• An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
• Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
• Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.

Tuition benefits eligibility - 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 Required
• Graduate of a Health Information Technology program Preferred

Work Experience

• 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) Required
• Experience using Microsoft Office (Excel, Word, PowerPoint, Visio) Required
• 3 years progressive coding experience Required
• 3 years progressive coding experience in multiple specialties Preferred

Licenses & Certifications

• 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) Required
• Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) Preferred

Our Commitment to Diversity and Inclusion

UW Health is committed to being a diverse, equitable, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer. Our integrity shines through in 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. Applications from Black, Indigenous and People of Color (BIPOC) individuals, LGBTQ+ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged. EOE, including disability/veterans.

Job Description

UW Hospital and Clinics benefits