What are the responsibilities and job description for the UMH Sparrow Health System - PROFESSIONAL CODING DOC ANALYST & EDUCATOR position at University of Michigan Health - Sparrow?
Positions Location: Lansing, MI
General Purpose of Job:
Implement/maintain chart a review system for University of Michigan Health Sparrow providers/caregivers to educate and improve documentation requirements while supporting the professional billing revenue cycle.
Essential Duties:
This job description is intended to cover the minimum essential duties assigned on a regular basis. Associates may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.
- Develops, implements, and monitors chart review system for provider and caregivers' documentation improvement.
- Performs chart reviews for multi-specialty physician practices utilizing appropriate documentation guidelines.
- Educates providers and caregivers to improve documentation requirements for level of care and procedures billed to ensure compliant billing.
- Designs, implements, and conducts effective training programs to support the professional billing revenue cycle.
- Assists with documentation needed for quality initiative programs.
- Communicates opportunities for improved workflow to information technology and/or EPIC analysts.
- Identifies and implements coding opportunities to maximize reimbursement.
- Maintains standardized compliance with UM Health Sparrow compliance policies.
- Other projects as assigned.
| General Requirements | * Foundational Coding Credential: Current certification in good standing as a Certified Professional Coder (CPC), AAPC; or Certified Coding Specialist-Physician-based (CCS-P), AHIMA * CPMA (Certified Professional Medical Auditor, American Academy of Professional Coders) certificate within one year of hire. |
| Work Experience | * See education |
| Education | * Associate's Degree in HIM or relevant health care field and a minimum of 3 years of relevant coding experience; OR High school diploma/GED and a minimum of 5 years of relevant coding experience . |
| Specialized Knowledge and Skills | * Knowledge of CPT and ICD-10 coding and current rules /regulations regarding reimbursement and billing compliance for Professional Part B service by CMS and other federally funded programs. * Excellent organizational, communication, and interpersonal skills. * Knowledge of Microsoft Word, Excel, and Internet applications. |
University of Michigan Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.
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| Shift | Days |
| Degree Type / Education Level | High School / GED |
| Status | Full-time |
| Facility | Sparrow Hospital |
| Experience Level | New Grad |