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UW faculty and staff also enjoy outstanding benefits, professional growth opportunities and unique resources in an environment noted for diversity, intellectual excitement, artistic pursuits and natural beauty. All of which has allowed the UW to be nationally recognized as a “Great College to Work For” for four consecutive years.
The Department of Radiation Oncology is an academic department specializing in the research, teaching, and providing of professional services for the management of cancer patients undergoing treatment using radiation therapy as the main modality of treatment.
The Department of Radiation Oncology currently has an outstanding opportunity for a REVENUE CYCLE SPECIALIST.
The purpose of this position is to maximize professional revenue for services provided, and provide back-up support to the Revenue Cycle Manger with the reimbursement, charge capture and clinical coding in UW Medicine, Department of Radiation Oncology clinical programs including standard and research care and compliant billing practices. This position alerts physicians and management to changes in the organization and in the industry. In addition, the position monitors and reports productivity according to the terms of the Department’s faculty salary agreement and works collaboratively with UWP Compliance on periodic audits as well as annual training requirements. This position works with physicians and insurance companies or third party brokers when appeals are required to ensure authorization is obtained prior to treatment, working with the PCC and front desk personnel at 6 of the 7 sites of the practice entities.
Duties and Responsibilities:
Internal Consultant/Charge Capture: 60%
Manage the pro-fee revenue cycle across six (6) sites of practice (coding and charge capture preauthorization) for Radiation Oncology under the supervision of the Revenue Cycle Manger.
Work with a broad range of Administration, Management and staff, including UW Medicine partners and outside entities to provide direction and guidance for best practice revenue cycle operations.
Improve standard templates and processes for medical record documentation across all sites of services.
Monitor activities and priorities of the clinical coding, documentation, and charge capture quality; Monitor performance of the coding/billing team, set expectations, and assign benchmarks for clinical coding and charge capture; Regularly review billing procedures with physicians, managers, and staff for accurate professional coding of services.
Consult, serve as an advisor to faculty and coding/billing staff regarding revenue cycle issue and Cognos billing data utilization; Develop and produce routine reports that monitor billings, cash collected, wRVUs, and appointment activity, including New Patient Starts.
Support the development of revenue cycle policies, key performance indicators and other collaborative tools to support UW Medicine entities and departments and non-UW Medicine entities (SCCA and the Proton Center) in improving overall revenue cycle effectiveness and ensuring change management plans are in place.
Determining and processing standard collection techniques that drive underpayment resolution; clinical programs quality and assurance; department coders and analysts.
Perform specific areas of review, follow-up, recovery and account resolution and work across our organization to identify operational and systematic issues that negatively impact underpayment performance. Provide support to increase pro-fee revenue through charge capture and maximization of available and appropriate billing codes.
Implement professional fee billing and reimbursement educational programs to support onboarding of new providers; provides ongoing professional fee education covering changes in billing and reimbursement rules, state and federal legislation, billing software applications.
Monitor/conduct chart reviews and implement intervention strategies as necessary.
Collaborate with UWP professional fee billing specialists to provide annual compliance training requirements, ensuring institutional deadlines are met.
Work collaboratively with the technical staff (technical revenue) at all sites of practice entities on behalf of the physicians to ensure appropriate clinical billing and reimbursement procedures and compliance with federal and state regulations are adhered to.
Project Management: 30%
Oversee, document and direct the coding and charge capture by physician and midlevel providers and partners with administration, management and staff, achieve timely input of charges and productivity level.
Assist/support the Revenue Cycle Manger with the maintenance of CPT code table and fee schedules, charge ticket design, including documentation templates for physician services.
Provide back-up for validation of charge input, editing of CPT and ICD-9 and soon ICD-10 codes, maintaining adequate controls of the charge process.
Make sure input data is highest quality necessary to produce accurate claims and reduce denials; understands contracting, reimbursements and denial principals;
Other Duties: 10%
Monitor results of the compliance audits in conjunction with the UWP Compliance Officer, UW Medicine Compliance, Medical Center and free standing facilities compliance and initiates corrective action as necessary; Monitors and reports performance measured by Work Relative Value Units (wRVUs) against goals.
Provide ongoing analysis of billings, cash collected and wRVUs to identify problems.
Analyze, evaluate, improve, and manage with a comprehensive approach to all components in obtaining patient encounter information and apply it to ensure patient safety, while creating a simplified, integrated workflow designed to optimize and expedite reimbursement.
Analyze physician and midlevel practice models.
This position must understand the clinical procedures and services provided by the physicians to optimize the charge activity;
Provide periodic updates and teaching of appropriate coding, billing and documentation for the physicians, fellows, residents, medical students, nurses, RTTs, and other relevant staff.
Minimum Requirements: Bachelor’s Degree in Business/Healthcare Administration and or five years of healthcare experience that demonstrates professional and technical knowledge of health care finance and reimbursement.
Additional Requirements: Working knowledge of ICD-9 or 10 and CPT coding and reimbursement methodologies. Proficiency in Microsoft Office Suite and knowledge of Database software. Excellent oral, written and interpersonal communication skills with the ability to convey a positive and professional image is a must. Ability to multi-task and work independently, while adhering to strict deadlines. Equivalent education/ experience will substitute for all minimum qualifications. Ability to consistently apply sound professional judgment and critical thinking to address issues and solve problems. Experience working effectively with senior administrator and professionals, including sensitivity to handling confidential information.
Experience with the Radiation Therapy treatment cycle a plus, but not required.
CPC – Certified Professional Coder Certification desired, but not required.
Conditions of Employment: Possess the ability to assess, analyze, and initiate process improvements. Fast-paced professional office environment. Daytime hours but may also work off hours and weekends
Application Process: The application process for UW positions may include completion of a variety of online assessments to obtain additional information that will be used in the evaluation process. These assessments may include Work Authorization, Cover Letter and/or others. Any assessments that you need to complete will appear on your screen as soon as you select “Apply to this position”. Once you begin an assessment, it must be completed at that time; if you do not complete the assessment you will be prompted to do so the next time you access your “My Jobs” page. If you select to take it later, it will appear on your "My Jobs" page to take when you are ready. Please note that your application will not be reviewed, and you will not be considered for this position until all required assessments have been completed.
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.