A remarkable team of nearly 30,000 caring professionals comes together each day at UW Medicine to improve the health of the public. For us, working here is not just a job—it’s a calling. As providers, faculty, scientists, staff and administrators from diverse backgrounds, we are united by our dedication to excellence in providing patient-centered care, conducting innovative research and teaching the next generation of healthcare professionals.
UW Medicine Faculty Practice Plan Services (FPPS) supports UW Physicians (UWP), a practice group for more than 1,800 physicians and other healthcare professionals associated with UW Medicine. UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Neighborhood Clinics, UW Medical Center - Northwest, the UW School of Medicine, Valley Medical Center, and Airlift Northwest. UWP members also practice at the Seattle Cancer Care Alliance, a partnership of UW Medicine, Fred Hutchinson Cancer Research Center, and Seattle Children’s Hospital.
FPPS has an outstanding opportunity for a full-time, day shift, RISK ADJUSTMENT EDUCATOR (Compliance Analyst). The Risk Adjustment Educator is responsible for the creation and facilitation of a clinical documentation improvement and education program for UWP physicians.
The Risk Adjustment Educator position requires both clinical training and experience and coding certification and experience, and will be responsible for auditing and educating 2,200 physicians on risk adjustment coding to fully capture the health status of UW Medicine patients. As risk adjustment coding becomes more in demand by payers, UW Medicine will need to excel in appropriately documenting how we manage the healthcare needs of our patients.
Perform physician documentation reviews to identify appropriate risk-adjusting diagnoses.
Review physician documentation (medical records) and analyze where the physician could have used a different Hierarchical Condition Category (HCC) chronic disease diagnosis that would more accurately describe the medical condition of the patient.
Collate information about documentation and diagnosis improvement for presentation to the departments, the vice-chairs, the chiefs, and the physician champions as well as having one-on-one and group training sessions.
Recommend provider documentation improvements to achieve compliance with risk-capture, payer requirements and guidelines.
Report summary findings to the CCC Education Team, the Clinical Documentation and Risk Capture Workgroup, the Population Health Department and Physician Leads and Champions in the enterprise.
Provide group and one-on-one instruction to providers to address improvements identified by documentation reviews.
Bachelor's degree in Nursing (BSN)
Licensed as an RN or LPN in Washington State
3+ years of Professional Fee Risk Adjustment/HCC coding experience.
2+ years of direct provider interaction (clinical or educational).
2+ years of curriculum development.
3+ years of increasingly responsible related experience including coding auditing and documentation analysis
Current coding certification of a minimum of one of the following credentials: CPC (Certified Professional Coder - AAPC), CRC (Certified Risk Adjustment Coder - AAPC), COC (Certified Outpatient Coder - AAPC), CPC-I (Certified Professional Coder Instructor – AAPC, )CCS (Certified Coding Specialist - AHIMA), CCS-P (Certified Coding Specialist, Physician-Based - AHIMA), RHIT (Registered Health Information Technician - AHIMA), RHIA (Registered Health Information Administrator - AHIMA).
Extensive knowledge of ICD-9, ICD-10, CPT and HCPCS coding principles and guidelines.
Proficiency with MS Office applications and electronic medical records systems (EPIC preferred)
Strong knowledge and application of coding and documentation requirements for providers in an academic healthcare environment.
Ability to design, develop and implement responsive training plans, curricula, methodology, and programs using knowledge of curriculum development and adult learning theory.
DESIRED Experience creating and/or facilitating a clinical documentation improvement and education program for physicians. CPMA (Certified Professional Medical Auditor – AAPC) CDEO (Certified Documentation Expert Outpatient - AAPC) CDIP (Certification Documentation Improvement Practitioner - AHIMA) CCDS (Certified Clinical Documentation Specialist - Assoc. of CDI)
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergraduate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.