BASIC FUNCTION AND RESPONSIBILITY
Extract and analyze clinical information and translate this into codes for the most appropriate DRG, POA and PSI indicators, SOI and ROM scores, research, statistics, financial planning, compliance and marketing to ensure completeness, accuracy and compliance with the International Classification of Diseases Manual-Clinical Modification.
Opportunity to work from home after completion of probationary period, successful training, while meeting quality and productivity standards.
CHARACTERISTIC DUTIES AND RESPONSIBILITIES
Extract, review and analyze clinical information, identify and abstract all pertinent information and translate data into appropriate codes for appropriate DRG, POA and PSI indicators, SOI and ROM scores, research, statistics, financial planning, compliance and marketing to ensure completeness, accuracy and compliance with established guidelines of all governmental regulatory agencies and third party payers. 50%
Exercise independent judgment on determining cases complexity by utilizing clinical knowledge in order to understand the etiology, pathology, signs, symptoms, diagnostic studies, treatment modalities and prognosis of diseases and procedures to be coded. Research complex diagnoses and or procedures as needed to enhance coding knowledge to consistently apply the correct ICD-10-CM and ICD-10-PCS codes. 25%
Interact closely with the Clinical Documentation Specialists and DRG Compliance Coordinators to query the medical staff appropriately and professionally to obtain accurate documentation necessary to ensure coding compliance and accuracy. 15%
Expand job-related knowledge and skills by attending and participating in in-services and staff meetings. Keep abreast of coding guidelines and quarterly Coding Clinic. 10%
General supervision is received from a Coding Unit Supervisor.
An Associate's Degree in Health Information Technology and registration with the American Health Information Management Association as a RHIT or RHIA is necessary. Certification must be maintained through continuing education.
Excellent written, verbal and analytical skills and a high level of concentration.
Reasonable knowledge of medical terminology, anatomy and physiology, treatment methods, patient care assessment, data collection techniques, and coding classification systems.
Experience in a major academic medical center and ICD-10-CM coding and DRG grouper assignments.
Excellent computer skills and previous experience with 3M encoder.
AHIMA Core model competencies Met
Data Capture, Validation & Maintenance
Data capture, validation and maintenance require the development and implementation of standard practices, policies and procedures that support effective and efficient capture of data that are valid and reliable. This involves clear understanding and direction with regard to the design and implementation of data quality and integrity strategies, management of data structures and terminology assets, and support for optimum information flow.
Inpatient DRG Coding Specialist
Code and abstract the medical record content in the manual and computer-assisted environments.
Manage, evaluate, and maintain terminology assets including vocabulary and clinical code sets.
Increased revenue potential by assuring accurate coding supported by documentation.
Improved research outcomes through optimized data capture and abstraction.
Improved cash flow caused by first time claims processing with few denials and appeals required.
University of Michigan Health System conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.
University of Michigan Health System is a service organization committed to values. We put our values into action each day with smiles, energy, enthusiasm and a commitment to always doing our best. We understand that in every interaction, we represent our entire organization in the care we give, the attention we pay and the courtesies we extend to both internal and external customers. We value respect, compassion, trust, integrity, efficiency and leadership and will expect nothing less.
Our values are demonstrated daily through our commitment to:
Patients and Families First
Accountability for Outcomes
Respect for Individuals
Responsibility for Cost Effectiveness
Service to the Community
Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.