Company: | University of Michigan Health System |
Industry: | Healthcare / Medical |
Job Type: | Full Time |
Country: | United States |
State/Province: | Michigan |
City: | Ann Arbor |
Post Date: | 02/11/2023 04:13 PM |
Job Summary GENERAL PURPOSE 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. What You’ll Do 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% Skills You Have PROBLEM SOLVING
SKILL SET
Required Qualifications*
Desired Qualifications*
Work Schedule Flexible with leadership approval. Work Locations This is a remote position. Additional Information SUPERVISION RECEIVED Functional and administrative supervision is received from a Coding Unit Manager. SUPERVISION EXERCISED None. Additional Information 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: P atients and Families First A ccountability for Outcomes R espect for Individuals T eamwork N ever-ending Improvement E mpowerment R esponsibility for Cost Effectiveness S ervice to the Community Age-Specific Competency-ADULT 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. U-M COVID-19 Vaccination Policy COVID-19 vaccinations, including one booster when eligible , are required for all University of Michigan students, faculty and staff across all campuses, including Michigan Medicine. This includes those working remotely and temporary workers. More information on this new policy is available on the U-M Health Response website or the UM-Dearborn and UM-Flint websites. |
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