Primary responsibility is to ensure that services performed by the faculty in Acute Care Surgery are appropriately documented in a timely manner, charges are captured within specific time frames, and reconciliation between services, documentation and charges occur on a daily basis.
Other responsibilities include:
• Work closely with faculty, answer their questions with regard to documentation and coding, understand and be the subject matter expert for their clinical and charge capture workflows, serve as a liaison to the Revenue Cycle Coding Unit.
• Assist faculty on coding for inpatient E&M, bedside procedures, SICU, and other locations.
• Prepare reports to provide feedback on provider and coding performance including state of documentation, charge capture, and reconciliation.
• Review and analyze clinical documentation to increase efficiency with physician reimbursement.
• Serve as resource for faculty on changes required for documentation of clinical services that may affect reimbursement.
• Serve as a resource on documentation requirements and ensure compliance with applicable laws and regulations.
• Perform analysis of patient care logs and other data to locate potential business opportunities or issues with respect to reimbursement or documentation of care.
• Assess opportunities for billing and provide necessary education on proper documentation for additional work performed.
• Perform audits of medical/surgical coding and give feedback to faculty.
• Initiate and compose letters to assist with clinical appeals to payers and Modifier 22 documentation for additional reimbursement.
• Meet regularly with Coding and Billing units to ensure constant communication between ACS and Revenue Cycle.
This position will dually report to Acute Care Surgery and the Revenue Cycle Coding Unit. Acute Care Surgery will have day to day responsibility and the Coding Unit will provide training, perform reviews and quality assurance, and provide oversight over coding activities.
Other duties may be required as assigned.
High school graduation or an equivalent combination of education and experience required. Knowledge and/or experience with coding and clinical documentation for Trauma and Critical Care Surgery. Certified Professional Coder (CPC) through American Academy of Professional Coders (AAPC) or RHIT/RHIA through AHIMA. Knowledge of medical terminology. Facile with Microsoft Office programs.
Candidate must exhibit a professional and positive image when interacting with patients, faculty and staff, and possess excellent grammar and communication skills. Excellent organizational and interpersonal skills and availability to work a flexible schedule are essential.
Bachelor's degree level education. Self-starter with ability to work independently as well as within the framework of a team. Familiarity with insurance claims processing.
**Please note: This position is part of a one-year pilot program. The position is term limited for one year, with the possibility of a permanent position based on the success of the pilot and needs of the program. At the end of the stated term, the appointment will terminate and will not be eligible for Reduction in Force (RIF) benefits.
Michigan Medicine 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.
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.
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.