UMH Sparrow Health System - PROFESSIONAL CODING DOC ANALYST & EDUCATOR

Peoplefluent; Lansing (MI); On-site; USD 65,000 - 90,000; Full time

Job summary

UMH Sparrow Health System in Lansing, MI seeks a Professional Coding Doc Analyst & Educator to implement and maintain a chart review system for providers to educate and improve documentation for compliant professional billing.

You will develop training programs, perform multi-specialty chart reviews, and educate clinicians to maximize accurate coding and reimbursement while ensuring adherence to CMS and UM Sparrow policies.

Qualifications

• Knowledge of CPT and ICD-10 coding and current rules for reimbursement and billing compliance.
• Ability to educate providers to improve documentation requirements for billing.
• Experience supporting professional billing revenue cycle and quality initiatives.

Responsibilities

• Develops, implements, and monitors chart review system for documentation improvement.
• Performs chart reviews for multi-specialty practices using appropriate guidelines.
• Educates providers to improve documentation for level of care and billed procedures.
• Designs and conducts training programs to support the professional billing revenue cycle.
• Assists with documentation for quality initiative programs.
• Communicates opportunities for improved workflow to IT and EPIC analysts.
• Identifies coding opportunities to maximize reimbursement.
• Maintains compliance with Sparrow UM policies.

Skills

CPT & ICD-10 knowledge

Organizational skills

Communication skills

Interpersonal skills

Education

Associate’s Degree in HIM or relevant health care field

High school diploma/GED with 5 years coding experience

Tools

Microsoft Word

Excel

Internet applications

Job description

UMH Sparrow Health System - PROFESSIONAL CODING DOC ANALYST & EDUCATOR

Job ID: 56112

Positions Location:

Lansing, MI

Job Description

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

• 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
• 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