ProFee Billing and Coding Analyst

Job Description

Faculty Practice Plan Services (FPPS) has an outstanding opportunity for a full-time, remote Coding Business Analyst.

• 40 hours per week
• Day Shift
• This position is Remote

The Coding Business Analyst is an operationally focused IT professional responsible for providing both technical and business analysis of UW Physicians' core business systems, UW Medicine enterprise systems, and business analysts' tasks to meet the needs of the user community. This position serves as a liaison between Clinical Applications, Business Applications, and FPPS Operations. The role requires a deep understanding of revenue cycle workflows and their impact on FPPS business objectives.

It serves as a subject matter expert bridging the gap between coding and revenue cycle, both technically and operationally.

The Coding Business Analyst is responsible for collaborating with the FPPS Business Owners and IT partners, facilitating business requirements analysis via the methodical investigation, analysis, review, and documentation of all or part of a business in terms of business functions and data needs. He or she will manage the requirements development process through the elicitation, analysis, specification, and verification of multiple levels of requirements (business, stakeholder, solution) and support the ongoing management of the requirements.

The Coding Business Analyst creates viable and consumable specifications, including acceptance criteria, in preparation for the sign-off, construction, and testing of design/build/configurations.

• Function as subject matter expert for clinical and revenue cycle applications while working with clinical and business users to define and document business cases for initiatives, including a clear definition of business needs, alignment to strategic objectives, benefits, and KPIs.
• Leads and facilitates requirements meetings to perform requirements analysis and develop/document/validate technical solutions.
• Develop test strategies, utilize best practice testing tools & techniques such as test scenario creation, traceability matrices, testing checklists, testing sign off documentation, and test labs.
• Facilitates user acceptance testing.
• Regularly documents and communicates project status to leadership, customers, and business stakeholders.
• Develops, implements, and maintains regular reports that illustrate the health of the Business Analyst function within FPPS, and other reports as required.
• Assists in identifying and implementing Application standards, culture, and guidelines, best practice methodologies, as well as processes and tools that will support the needs of customers, stakeholders, and the organization.
• Provide Coding expertise and quality assurance testing, and monitoring.
• Conduct research and update Operational leadership on possible new edits, CMS changes, and payer policies.
• Develops, manages, and maintains all testing scripts for projects, process improvements, and Epic Upgrades.
• Develop, implement, and evaluate departmental operations to assure excellent customer service by identifying customers, understanding their respective needs and expectations, ensuring prompt incident and problem resolution, and measuring their satisfaction regularly.
• Coordinate activities and projects with other leaders/managers within ITS, FPPS, or partner organizations that have dependencies upon or are complementary to these projects.
• Utilize project management practices and standards (e.g., issue management, risk management, project scheduling, etc.) as required for relevant endeavors and activities by assigned teams.
• Support the execution of UWP’s Operational excellence roadmap and strategy, leveraging industry best practice methods and tools such as Lean/Six Sigma, Kaizen.
• Develop the departmental staffing, skills, and expertise to support organization-wide adoption of process improvement methods and tools such as Lean/Six Sigma.

• Bachelors Degree
• Epic Resolute PB Administrator Certification and Coding Certification (CPC, CCS-P)
• 2-3 years of analytical, auditing, or training experience in a Health Care environment.
• Familiarity with reimbursement and billing regulations such as the WAC, CMS, DSHS, and L & I.
• 3-5 years of experience in business analysis and requirements definition with a thorough understanding of data analysis and requirements documentation techniques.

• Previous experience in and knowledge of the academic healthcare environment
• Certification or experience in 1 or more Epic Ambulatory or IP Clinical Modules, ie, Epiccare, Optime/Anesthesia
• Certification or experience with Project Management (PPM, CAPM) Methodologies and tools
• Certification or experience with Lean or Lean Six Sigma Methodologies and tools

UW Medicine Faculty Practice Plan Services (FPPS) supports UW Physicians (UWP), a practice group for more than 3,000 physicians and other healthcare professionals…