Job Information
Metro Health Clinical Document Specialist in Grand Rapids, Michigan
Metro Health (now the University of Michigan Health-West) is looking for a Clinical Document Specialist - Physician Practices * Days - 40hrs/wk Shift: Days
General Summary:
The UMHP Clinical Documentation Specialist (CDS) is responsible for planning, coordinating and providing education related to clinical documentation improvement and clinical charge capture optimization for the Medical Group service line physicians, APPs and staff. The CDS will improve and optimize workflows and processes in the education, analysis, maintenance and support of charging, coding, documentation, revenue optimization, reimbursement excellence, Annual Wellness Visits (AWVs), prior authorization, modifier usage trends/development, portal messaging and CPT/ICD-10 and HCC code usage for UMHP to achieve best in class. The CDS will apply their knowledge of medical terminology and coding to develop workflows, implement education plans and communicate the principles and importance of accurate and complete documentation to support charging for outpatient professional clinical visits/services, surgeries, procedures and imaging studies. The CDS identifies gaps and opportunities for charge capture and assist with implementation of processes in the ambulatory clinical setting along with the medical and service line leadership. The CDS will understand and articulate data analysis specific to physician and APP clinical documentation, charge capture and revenue activity, provide updates on status and progress of efforts to improve revenue capture and maintain a strong collaborative relationship with the Clinically Integrated Network (CIN) and other relevant departments.
Requirements:
Associate degree or equivalent (i.e. medical billing and coding, health information technology/management, health administration, business administration or another related field required).
RHIT, RHIA, CCS, CCS-P, CPC or other professional HIM coding certificate.
At least three (3) years of medical coding experience and in an educational or training and development setting required.
EPIC or Revenue Cycle Certification a plus.
Demonstrated experience providing clinical documentation and coding education to providers.
Excellent communication skills (verbal and written) to enable effective outcomes with the diverse complex clinical care teams.
Ability to navigate the EHR to identify documents or review to provide accurate capture of clinical information.
Extensive CPT and ICD-10 coding knowledge.
Medical terminology and clinical knowledge with the ability to review documentation and determine what documentation is needed to provide accurate medical codes.
Ability to work independently, self-motivated and an ability to adapt to the changing healthcare environment.
Proficiency in organizational skills and planning with and ability to juggle multiple priorities in a fast-changing environment.
Proficiency in computer use including Microsoft Office Suite experience.
Provide support to clinicians on navigating the EHR to make addendums, create SmartTexts and SmartPhrases and utilize templates.
Possess proactive, strategic, innovating and out-of-the-box thinking.
Exhibit an understanding of health care administration, health industry trends, and an understanding of the University of Michigan Health-West organizational structure and mission.
Demonstrates attention to detail, consistency, and meets multiple deadlines in a timely manner.
Demonstrates leadership, independence, responsibility, accountability and good judgment. Ability to think strategically.
Acts as a self-starter and demonstrate a willingness to take on new and challenging leadership roles, as well as non-leadership projects and deliverables.
Accepts and respects diversity without judgment.