Research - Laboratory/Non-Laboratory, Staff/Administrative
UW Medicine Information Technology Services (ITS) is a shared services organization that supports all of UW Medicine. UW Medicine is composed of UW Medical Center, Harborview Medical Center, Seattle Cancer Care Alliance, UW School of Medicine, Northwest Hospital & Medical Center, Valley Medical Center, UW Physicians, Airlift Northwest, and UW Neighborhood Clinics. The IT Services organization is responsible for ongoing support and maintenance of the infrastructure and applications that support these institutions, along with the implementation of new services and applications that are used to support and further the mission of patient care, research, and teaching.
The University of Washington is proud to be one of the nation’s premier educational and research institutions. Our people are the most important asset in our pursuit of achieving excellence in education, research, and community service. Our staff not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, artistic pursuits, and natural beauty. This position provides opportunities to work in a fast-paced, challenging, diverse and rewarding environment. As an employee you will enjoy generous benefits and work/life programs. For detailed information on Benefits for this position, click here.
UW Medicine Information Technology Services (ITS) and Pharmacy Services have an outstanding opportunity for a FULL-TIME PHARMACY BILLING INTEGRITY ANALYST (Day Shifts). The Pharmacy Billing Integrity Analyst (Senior Computer Specialist) ensures pharmacy systems are designed and configured appropriately to capture pharmacy charges across retail, inpatient and ambulatory hospital sites at UW Medical Center Montlake, UW Medical Center Northwest, Harborview Medical Center and affiliated entities. This position provides technical leadership and oversight with regard to complex transaction flows from various pharmacy source systems through charge router and to Epic resolute hospital and professional fee billing and other downstream systems.
The Pharmacy Billing Integrity Analyst performs quality assurance activities to ensure that transactions are being routed across systems appropriately and processes are in place to detect and correct any errors. This position will use other pharmacy systems such as the Elite supply chain system, and will leverage other hospital systems and data sources (nthrive, HealthPay) to analyze and compare data and detect errors. New Epic functionality paired with existing inventory functionality will provide pharmacy with opportunities for improving IT processes and work flows. The Pharmacy Billing Integrity Analyst will evaluate and propose options for improving IT/business work flows related to billing integrity and will be responsible for stabilizing and optimizing Epic pharmacy billing processes post-implementation that will require ongoing system maintenance and review.
The Pharmacy Billing Integrity Analyst position requires knowledge of the hospital revenue cycle, Epic electronic medical record (EMR), billing systems and the UWM organization structure in order to correctly design and route drug charges for billing and reporting.
Pharmacy billing design, documentation and troubleshooting: • Work with Pharmacy IT, Pharmacy Finance and Compliance as well as EPIC and UWM IT to design, evaluate, document and troubleshoot transaction flows from Epic Willow, Epic Willow Ambulatory and Epic Beacon, to all downstream Epic modules and internal reporting systems for all locations
Pharmacy third party transaction integrity: • Work with Pharmacy staff and external parties to ensure data feeds are consistently and accurately capturing and reporting data • External data feeds include systems used by pharmacy third party administrators for order splitting, contract pharmacy eligibility, and rebates
Business Reporting: • Work closely with Pharmacy Finance to integrate pharmacy charge data sources with other clinical and financial data to improve patient level clinical and financial data for use in Health System business planning
Monitoring transaction volumes and errors: • Monitor charge and credit activity to ensure data is captured and transmitted according to specifications • Troubleshoot and escalate issues for resolution • Determine and develop reporting requirements that demonstrate transactions are accurately captured, delivered and reported as expected
Other duties as assigned: • Educate pharmacy staff about charge system issues • Serve as back-up for other IT, financial or administrative staff who are out of office • Participate in meetings with auditors, and other duties as needed
Lead responsibilities: • Coordinate and oversee billing system charge routing for the pharmacy • Represent Pharmacy Revenue Integrity on enterprise committees
DESIRED: Strong collaboration skills and the ability to mentor, educate and train staff
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.