Perform coding quality audits on outpatient records to assure appropriateness, accuracy, and compliance for CPT/HCPCs, ICD-10-CM code assignments, and modifier assignment in accordance with Center of Medicare and Medicaid Service (CMS) Guidelines, AMA and AHA Official ICD-10-CM Coding Guidelines. Provide ongoing feedback to managers and coders. Develop and implement educational programs regarding elements of the coding compliance program and act as a subject matter expert for the outpatient coding department.

Characteristics, Duties, & Responsibilities:

OPERATIONS

• Perform pre and/or post bill secondary chart review to validate modifier selection, E&M, procedural, and diagnosis coding in accordance with established coding guidelines 
• Provide workflow and coding training to new hires 
• Continuously provide feedback to coding staff to improve code selections that accurately describe the procedures and services performed by physicians in accordance to NCCI, AMA/CPT & ICD 10- guidelines     
• Review and Dissect coding clinics, yearly AMA guidelines, ICD-10-CM and NCCI to prepare education sessions to outpatient coders.
• Develop and coordinate educational and training programs regarding elements of the Coding Compliance Program, such as appropriate documentation, accurate coding, and coding trends found during chart reviews.
• Respond to complex internal and external customer inquiries in relation to Mid-Service processes, documentation, and coding compliance standards.
• Participate in process improvement initiatives by use of technology 
• Revise and/or write Policies & Procedures related to Revenue Cycle Mid-Service
• Assist with coding in the event of an unplanned emergency
• Demonstrate initiative by the continuous expansion of knowledge and skills
• Participate in department/unit activities including, but not limited to, staff meetings and in-services
• Perform other duties as assigned to maintain the efficiency of the department
• Protect the confidentiality of primary and secondary health records and the information therein as mandated by law, professional standards, and Health System policies 
• Demonstrates excellent customer service skills in working with Revenue Cycle staff, clinicians, and other UHMS staff. Model, support and reinforce a culture of service excellence

SKILLSET

• Extensive CPT/ ICD-10-CM coding knowledge with a strong understanding of the AMA, AHA and NCCI Official Coding Guidelines and how to apply them.
• Ability to leverage technology for process improvement.
• Analyze guidelines to provide in-depth education to staff.
• Write appropriate queries to the clinical care team in accordance with the AHIMA Query Policy.
• Attention to detail with thoroughness and accuracy when accomplishing a task.
• Participate as an active member of Lean Thinking in daily work initiatives
• Excellent verbal and written communication skills, analytical thinking, and problem-solving skills with attention to detail are required.
• Proficiency in organizational skills and planning with an ability to juggle multiple priorities in a fast-changing environment
• Experience in developing and providing education to coders and physicians 
• Ability to work independently, be self-motivated, and the ability to adapt to the changing healthcare environment.

• Associate's degree in healthcare related field
• Registered Health Information Technologist or Administrator (RHIT/RHIA) or, CCS, or CPC. 
• Three years' experience coding or auditing CPT, ICD-10-CM, and modifier assignment.
• Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing.
• One-Three years of experience using 3M 360 CAC and/or other encoders

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.

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.  The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

The University of Michigan is an equal employment opportunity employer.

About University of Michigan - Ann Arbor

A great university is made so by its faculty and staff, and Michigan is recognized as one of the best universities to work for in the country. The Michigan culture is known for engaging faculty and staff in all facets of the university to create a workplace that is vibrant and stimulating.For two consecutive years, the Chronicle of Higher Education has placed U-M in its "Great Colleges to Work For" survey. In particular, the university earns high marks for strong relations between faculty and administrators, a collaborative system of governance, strong pay and benefits, and a healthy work/life balance.

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