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 position educates staff and clinicians to improve documentation and support compliant billing. This is a 1.0 FTE day-shift role scheduled for 40 hours per week, with no on-call or weekend work stated.

Requirements

  • Associate’s degree in 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.

Responsibilities

  • Develop, implement, and monitor a chart review system to improve provider and team-member documentation.
  • Perform chart reviews for multispecialty physician practices using appropriate documentation guidelines.
  • Educate providers and team members on documentation requirements for levels of care and procedures billed to ensure 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 West compliance policies.
  • Perform other projects as assigned.
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