Professional Coding Documentation Analyst and Educator - Revenue Cycle Mid Service * Days - 40hrs/wk

University of Michigan Health-West; Wyoming (MI); On-site; USD 85,000 - 105,000; Full time

Job summary

University of Michigan Health-West is seeking a Professional Coding Documentation Analyst and Educator to implement and maintain a chart review system for providers to improve documentation and ensure compliant coding for Professional Part B services.

The role educates clinicians on documentation requirements and designs training programs to support the revenue cycle, including collaboration with IT/EPIC teams. This is a full-time position with dayshift responsibilities.

Qualifications

• Knowledge of CPT and ICD-10 coding and CMS rules.
• Excellent organizational, communication, and interpersonal skills.
• Proficiency with Word, Excel, and Internet tools.

Responsibilities

• Develops, implements, and monitors chart review system for provider and team member’s documentation improvement.
• Performs chart reviews for multi-specialty physician practices utilizing appropriate documentation guidelines.
• Educates providers and team members 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 West compliance policies.
• Other projects as assigned.

Skills

CPT ICD-10 knowledge

Documentation compliance

Communication skills

Organizational skills

Education

Associate’s Degree in HIM or relevant health care field

High school diploma with 5 years coding experience

Tools

MS Word

Excel

Internet applications

Job description

Professional Coding Documentation Analyst and Educator - Revenue Cycle Mid Service * Days - 40hrs/wk

Requisition #: req12802

Shift: Days

FTE status: 1

On-call: No

Weekends: No

General Purpose of Job:

Implement/maintain chart a review system for University of Michigan Health West providers/team members to educate and improve documentation requirements while supporting the professional billing revenue cycle.

Knowledge, Skills and Experience (If something is not required but is preferred, enter preferred at the end of sentence).

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 and a minimum of 5 years of relevant coding experience .

License / Certification / Registration

• 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 or this certificate may be obtained with one year of hire.

Experience

• See education section above.

Skills & Abilities

• 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.

Essential Duties

This job description is intended to cover the minimum essential duties assigned on a regular basis. Team members 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 team member’s documentation improvement.
• Performs chart reviews for multi-specialty physician practices utilizing appropriate documentation guidelines.
• Educates providers and team members 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 West compliance policies.
• Other projects as assigned.