About The Position

The Professional Coding Documentation Analyst and Educator supports the professional billing revenue cycle by implementing and maintaining a chart review system for University of Michigan Health West providers and team members. The role focuses on education and documentation improvement, helping ensure compliant billing and appropriate reimbursement. The position is a 1.0 FTE day-shift role, 40 hours per week, with no on-call or weekend requirements.

Requirements

  • Associate’s degree in Health Information Management (HIM) or a relevant health care field and at least 3 years of relevant coding experience; or a high school diploma and at least 5 years of relevant coding experience.
  • Current certification in good standing as a Certified Professional Coder (CPC®) from AAPC or Certified Coding Specialist–Physician-based (CCS-P) from AHIMA.
  • Knowledge of CPT and ICD-10 coding and current rules and regulations regarding reimbursement and billing compliance for Professional Part B services by CMS and other federally funded programs.
  • Excellent organizational, communication, and interpersonal skills.
  • Knowledge of Microsoft Word, Excel, and Internet applications.

Nice To Haves

  • AHIMA CPMA (Certified Professional Medical Auditor, American Academy of Professional Coders) certificate; this certificate may be obtained within one year of hire.

Responsibilities

  • Develop, implement, and monitor a chart review system to improve provider and team member documentation.
  • Review charts for multi-specialty physician practices using appropriate documentation guidelines.
  • Educate providers and team members on documentation requirements for levels of care and billed procedures to support compliant billing.
  • Design, implement, and conduct training programs supporting the professional billing revenue cycle.
  • Assist with documentation needed for quality initiative programs.
  • Communicate workflow improvement opportunities to information technology teams and/or EPIC analysts.
  • Identify and implement coding opportunities to maximize reimbursement.
  • Maintain standardized compliance with UM Health West compliance policies.
  • Perform other projects as assigned.
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