UMH Sparrow Health System - PROFESSIONAL CODING DOC ANALYST & EDUCATOR

Job Opportunity

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.

Job Family: Administrative/Clerical

Requirements:

• Shift: Days
• Degree Type / Education Level: High School / GED
• Status: Full-time
• Facility: Sparrow Hospital
• Experience Level: New Grad