UMH Sparrow Health System - PROFESSIONAL CODING DOC ANALYST & EDUCATOR

Job Opportunity 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.

Requirements Job Family Administrative/Clerical Requirements: Shift Days

Degree Type / Education Level High School / GED

Status Full-time

Facility Sparrow Hospital

Experience Level New Grad