Updated: about 18 hours ago
Location: Mount Pleasant, MICHIGAN
Deadline: 27 Aug 2017

Position Information

Position Number 04540
Type of Recruitment External
Position Summary

Ensures the quality of medical records by verifying their completeness, accuracy, and proper entry into computer systems; assembles and analyzes data for the purpose of improving patient care, controlling costs and meeting regulatory requirements. Codes and bills patients and/or insurance companies according to payer and regulatory requirements. Performs varied clerical technical duties, including the preparation of statistical reports and studies as needed, in addition to monthly reconciliations of invoices. Releases patient information for facilitating continuity of care or claims management, in accordance with CMU policy and regulatory requirements.

Required Qualifications

Associate’s degree preferably in health information management or equivalent combination of education and experience that equates to two years.
Two years of increasingly responsible experience.
Experience in ICD-CM and CPT coding.
Experience in electronic and paper filing of health insurance claims.
Demonstrated critical thinking, problem solving, and organizational abilities.
Ability to function effectively as a member of a multi-disciplinary team.
Demonstrated positive interpersonal skills.
Demonstrated ability to communicate effectively and project a positive image.
Ability to perform the essential functions and requirements of the job.

Preferred Qualifications

Experience working with Medicare/Medicaid medical necessity requirements.
Familiarity with audiology and/or amplification systems.
Expertise in ICD-CM coding systems; CP coding and HCPS Level II coding system.
Experience in electronic filing of health insurance claims.
Knowledge and experience in use of Microsoft Office, SAP, Netscape Mail and Calendar
Knowledge of university policies and procedures
Supervisory experience.
Certification as a Physician’s Office Coding Specialist or eligible for certification as a RHIA, RHIT, CCS or CPC.
Experience working with Medicare/Medicaid medical necessity requirements.

Duties & Responsibilities

Analyzes and maintains medical record documentation, interpreting the services provided, and assuring that appropriate coding is assigned to each service. (This includes, maintaining, updating and creating documentation forms and routers for the various services provided through the Carls Center.)
Assures coding, billing, and documentation compliance with HIPAA, CMS, AMA, and AHIMA regulations and guidelines.
Solves coding, billing, and insurance problems. Processes selected billings and payments.
Prepares statistical reports and studies.
Attends coding and billing seminars, reviews insurance change updates and informs office staff colleagues, as well as clinical service supervisors/directors, of current insurance rules/regulations and expected insurance policy changes.
Uses and maintains the computerized health information system and billing/scheduling systems.
Maintains and updates insurance information and service fee screens.
Performs record review audits and follows up with appropriate clinicians regarding any record documentation deficiencies in order to optimize reimbursement of services and comply with record documentation standards/insurance requirements; trends are monitored and reported to the Clinical Director of the Carls Center for processing.
Works with patients, referral sources and payers to assure the requirements of payer pre-authorizations and medical necessity are met.

Supervision Exercised


Message to Applicants

You must submit an on-line application in order to be considered as an applicant for this position.

Cover letters may be addressed to the Hiring Committee.

Employee Group Supervisory Technical
Staff Pay Level<br><br><a href= 5
Pay Range $15.19 - $23.93
Division Academic Affairs
Department Carls Center
Position Status Regular
Position End Date
Employment Status Full-Time
FTE 1.0
Position Type 12 month
Weekly Work Schedule Monday - Friday, 8am - 5pm, evenings and weekends as necessary
At Will? No
Location Mount Pleasant, MI
About the Department
About CMU

Founded in 1892, Central Michigan University has evolved into a major, national university with nearly 27,000 students, approximately 50 remote locations in the U.S. and Canada, top-ranked online programs, and nearly 215,000 alumni worldwide.
CMU is a $480-million enterprise offering more than 200 academic programs at the undergraduate, master’s, specialist and doctoral levels. Academic excellence is found in programs that have been ranked among the best in the nation, such as neuroscience, sales, logistics, fashion merchandising and design, and online programs for undergraduates as well as the online MBA and online graduate education for teachers and school leaders.
Central Michigan University complements its excellent academics with experiences outside the classroom – hands-on opportunities that enable students to find their potential and develop their ability to contribute to the world around them.
The fourth-largest university in Michigan began with the mission of addressing a demand for teachers prepared and qualified to lead classrooms and educate future generations. That commitment to fulfilling unmet needs continues today in America’s 137th College of Medicine, which in 2017 will graduate its first class of doctors dedicated to medically underserved communities.
Employees have access to state-of-the-art fitness facilities and a nationally recognized wellness program as well as health care and benefits that exceed national norms for many industries.
CMU is a member of the NCAA Division I Mid-American Conference and is located in a classic, tight-knit college community in the heart of central lower Michigan. Home to 26,000 of Isabella County’s more than 70,000 residents, Mount Pleasant offers a mix of outdoor features, family attractions and small-town life complemented by university culture. Mount Pleasant is just an hour or two from most of Michigan’s destination spots, including Detroit, Grand Rapids, Lansing, Ann Arbor, sunset beaches on Lake Michigan, and the acclaimed “Up North” communities, state parks and lakes.

EEO Statement

CMU, an AA/EO institution, strongly and actively strives to increase diversity and provide equal opportunity within its community. CMU does not discriminate in employment against persons based on age, color, disability, gender, gender identity/gender expression, genetic information, familial status, height, marital status, national origin, political persuasion, race, religion, sex, sexual orientation, veteran status, or weight (see .)

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Posting Begins 08/13/2017
Posting Ends 08/27/2017
Open Until Filled No

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