Coding Quality Analyst

This is a fully remote position, open to applicants in Wisconsin.

📋 Description

• Create and implement a structured monitoring system for the QA program.

• Develop, execute, and/or manage the review process for coding quality.

• Evaluate coding errors and provide guidance and educational resources.

• Identify and suggest quality improvement opportunities to staff.

• Engage in personalized feedback for coding personnel.

• Compile results and recognize trends for targeted educational initiatives.

• Prepare summary reports of coding review findings as needed.

⛳️ Requirements

• Graduation from a Medical Coding Program is mandatory.

• Familiarity with coding principles: Current Procedural Terminology (CPT), International Classification of Diseases 10th Edition-Clinical Modification (ICD-10-CM), and Health Care Procedure Coding System (HCPCS) for non-HCC positions.

• A minimum of 3 years of progressive coding experience for non-HCC roles or 3 years of experience in HCC Risk Adjustment for HCC positions is required.

• Certification as a Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P) is required upon hire for non-HCC roles.

• Certification as a Certified Risk Adjustment Coder (CRC) must be obtained within one year for HCC-specific roles.

• Graduation from a Health Information Technology program is preferred.

• Preferred: 3 years of progressive coding experience across multiple specialties for non-HCC roles, or 3 years of HCC Risk Adjustment Coding experience at a large health system or academic medical center for HCC roles.

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

• Candidates must reside in an approved remote work state for UW Health.

🏝️ Benefits

• Health and dental insurance.

• Paid time off.

• Retirement plans.

• Flexible scheduling and shift options to promote work-life balance.

• UW Health’s Wellness Options at Work to support employee and family well-being.

• Eligibility for tuition reimbursement after one year of employment.

• Support for professional growth through coursework related to career advancement.