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Utilize the EPIC Release Module to locate, analyze, and produce medical records required to substantiate Hospital and Professional Billing claims in response to payer, auditor, and government agency requests.
Process medical record requests for on-site regulatory audit requests for CMS (Centers for Medicaid/Medicare Services), OIG (Office of Inspector General), The Joint Commission, and related entities to ensure appropriate follow-through and assist in the minimization of hospital liability. Provide medical records to internal customers, such as the Office of General Counsel (OGC), the Office of Patient Relations and Clinical Risk, Utilization Review Management, and Revenue Cycle as requested or required. Process requests for required medical records within designated time limits.
Represent the unit professionally and provide support and customer services to all internal and external record review requesters.
Mission Statement
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.
Responsibilities*
OPERATIONS
CUSTOMER SERVICE
PERCENTAGE OF DUTIES
Skills You Have
Required Qualifications*
Desired Qualifications*
Work Schedule
WORK LOCATION AND STANDARD HOURS
SUPERVISION RECEIVED
Additional Information
AHIMA CORE MODEL COMPETENCIES MET
Functional Component of the HIM Professional Core Model
Data/Information Analysis, Transformation, and Decision Support
This component requires the development and implementation of standard practices, policies, and procedures that enable reliable and effective analysis, transformation, and reporting of data and information.
Transforming data and information into knowledge is critical for patient care, improving healthcare quality, advancing research and supporting operations.
Roles
Clinical Data Analyst, Data Quality Analyst, Health Data Analyst
Functions (relative to role)
Evaluate the integrity and comparability of data and identify gaps in data sources
Analyze and transform data / information / knowledge / intelligence to generate findings for clinical, financial, operational, research, legal, and regulatory/policy processes and decisions
Value
Compliance with mandated reporting requirements
Information Governance and Stewardship
Information governance provides a foundation for the other data-driven functions in the Core model by providing parameters based on organizational and compliance policies, processes, decision rights and responsibilities. Governance functions and stewardship ensure the use and management of health information complies with jurisdictional law, regulation, standards, and organizational policies. As stewards of health information, HIM roles and functions strive to protect and assure the ethical use of health information.
Roles
Access Manager
Functions (relative to role)
Ensure compliance with jurisdictional laws and regulations, reimbursement/payer policies, and legal requirements pertaining to health information.
Manage access, disclosure, use, and control of protected health information.
Value
Decrease risk litigation based on appropriate retention of data.
Increased compliance with current laws and regulations.
Decreased liability and enhanced reputation through reduction of breaches.
Background Screening
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.
Application Deadline
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.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.
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