The accurate capture of structured health data is critical to the function of an integrated healthcare delivery system and ensures proper reimbursement for services. Using morbidity and mortality and procedural classification systems paints a picture of services provided and the types of patients treated at Michigan Medicine.
BASIC FUNCTION AND RESPONSIBILITY
Extract and analyze clinical information and translate into the most accurate ICD-10-CM, CPT, and other specialized codes and modifiers to ensure appropriate reimbursement and accurate and reliable data for research, statistics, financial planning, compliance, and marketing. Make corrections to coding edits and charges.
The University of Michigan Health System 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.
CHARACTERISTIC DUTIES AND RESPONSIBILITIES
PROCESS – EXECUTION - OPERATIONS
Extract, review and analyze clinical information, identify and abstract all pertinent information and translate data into appropriate ICD-10-CM, CPT, and other specialized codes and modifiers for appropriate reimbursement, 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. Work under fast-paced circumstances to meet turnaround time requirements. Meet or exceed departmental/unit performance standards. 60%
Exercise independent judgment on determining case 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 codes. Identify issues and make recommendations for resolution and improvement. Escalate patient safety, customer service, quality, and compliance concerns to leadership. Communicate with unit leadership regarding policy and procedures. 20%
Interact closely with providers and query the medical staff appropriately and professionally to obtain accurate documentation necessary to ensure coding compliance and accuracy. 10%
Expand job-related knowledge and skills by attending and participating in in-services and staff meetings. Maintain currency with work processes, tools, and clinical and administrative applications necessary to perform job functions, including, but not limited to, keeping abreast of coding guidelines and quarterly Coding Clinic and monthly CPT Assistant. Demonstrate an understanding of University, Michigan Medicine, departmental, and unit policies and procedures and seeks clarification as needed. Comply with regulatory, legal, and accreditation requirements and seeks clarification as needed. Assure adherence with safety programs. Participate in and demonstrate an understanding of a highly-reliable organization and applies quality improvement concepts in daily work. 10%
- Demonstrate a commitment to a highly-reliable organization for problem analysis and improvement.
- Participate in quality improvement efforts related to coding processes.
- Participate in process improvement and redesign to improve customer satisfaction, reduce costs, and/or meet departmental and institutional goals and objectives.
- Data Management: Acquires, validates, and processes data so it is accessible, reliable, and timely in accordance with the needs of customers.
- Attention to Detail: Achieves thoroughness and accuracy when accomplishing a task.
- Analysis: Analytical skills with the ability to visualize, articulate, and solve complex problems and concepts and make decisions based on available information. Ability to analyze detailed information to determine appropriate compliance with privacy and security rules
- Critical Thinking: Gathers and integrates critical information to arrive at effective solutions
- Decision Making: Makes timely, informed decisions that take into account the facts, goals, constraints and risks.
Flexible with leadership approval.
This is a remote position.
Functional and administrative supervision is received from a Coding Unit Manager.
- Certified Professional Coder (CPC), Clinical Coding Specialist (CCS) or 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.
- Proficiency using Microsoft Office for work tasks.
- Ability to work independently or in a team with minimal supervision.
- Demonstrated initiative, adaptability, and flexibility.
- The ability to work from home or other non-office location.
- The ability to attend and meaningfully participate in remote meetings through audio and/or visual connection.
- Coding experience in a major academic medical center.
- Excellent computer skills and previous experience with 3M encoder.
- Experience using Michigan Medicine information systems/applications (e.g. MiChart).
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
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. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.
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.