Remote Medical Coder Outpatient

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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.

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.

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world?s most distinguished academic health systems.  In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

Excellent medical, dental and vision coverage effective on your very first day

Retirement Savings Opportunities

Responsibilities*

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%

PROBLEM SOLVING

• 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.

SKILL SET

• 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.
  

SUPERVISION RECEIVED

Functional and administrative supervision is received from a Coding Unit Manager.

SUPERVISION EXERCISED

None.

Required Qualifications*

• One of the following certifications:
  • Certified Professional Coder (CPC) with membership to American Academy of Professional Coders
  • Clinical Coding Specialist (CCS) and registration with the American Health Information Management Association
  • Associate's Degree in Health Information Technology and registration with the American Health Information Management Association as a RHIT or RHIA
• 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
• Previous coding experience in Surgical coding or Surgical denial coding

Desired Qualifications*

• Coding experience in a major academic medical center.
• Excellent computer skills and previous experience with 3M Coding and Reimbursement System.
• Experience using Michigan Medicine information systems/applications (e.g. MiChart).

Work Schedule

Flexible with leadership approval

Work Locations

This position may be eligible for remote and/or flexible work opportunities at the discretion of the hiring department.  Flexible work agreements are reviewed annually and are subject to change dependent on the business needs of the hiring department, throughout the course of employment.

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:

Patients and Families First

Accountability for Outcomes

Respect for Individuals

Teamwork

Never-ending Improvement

Empowerment

Responsibility for Cost Effectiveness

Service to the Community

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. 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.