UMH Sparrow Health System - PROFESSIONAL CODING DOC ANALYST & EDUCATOR

Sparrow • Lansing, MI

17d

About The Position

Implement and maintain a chart review system for University of Michigan Health Sparrow providers and caregivers to educate them and improve documentation while supporting the professional billing revenue cycle. The role reviews documentation across multispecialty physician practices, educates providers and caregivers on documentation requirements, conducts training, supports quality initiatives, identifies coding opportunities, and maintains compliance with UM Health Sparrow policies. Additional duties or projects may be assigned, and leadership may alter or modify the position’s duties.

Requirements

• Hold a current, good-standing Certified Professional Coder (CPC®) credential from AAPC or Certified Coding Specialist–Physician-based (CCS-P) credential from AHIMA.
• Obtain the Certified Professional Medical Auditor (CPMA) certificate within one year of hire.
• Have an associate’s degree in HIM or a relevant health care field and at least 3 years of relevant coding experience; alternatively, have a high school diploma/GED and at least 5 years of relevant coding experience.
• Knowledge of CPT and ICD-10 coding and current reimbursement and billing-compliance rules and regulations for Professional Part B services under CMS and other federally funded programs.
• Excellent organizational, communication, and interpersonal skills.
• Knowledge of Microsoft Word, Excel, and Internet applications.

Responsibilities

• Develop, implement, and monitor a chart review system to improve provider and caregiver documentation.
• Perform chart reviews for multispecialty physician practices using appropriate documentation guidelines.
• Educate providers and caregivers to improve documentation for levels of care and procedures billed and to support compliant billing.
• Design, implement, and conduct effective training programs supporting the professional billing revenue cycle.
• Assist with documentation needed for quality initiative programs.
• Communicate workflow improvement opportunities to information technology and/or EPIC analysts.
• Identify and implement coding opportunities to maximize reimbursement.
• Maintain standardized compliance with UM Health Sparrow compliance policies.
• Complete other projects as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED