UMH Sparrow Health System - PROFESSIONAL CODING DOC ANALYST & EDUCATOR

Job ID: 56112

Positions Location: Lansing, MI Job Description General Purpose of Job:

Description:

Positions Location: Lansing, MI

Job Description

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.

Job Requirements

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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Job Family

Administrative/Clerical

Requirements:

Shift

Days

Degree Type / Education Level

High School / GED

Status

Full-time

Facility

Sparrow Hospital

Experience Level

New Grad