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Clinical Documentation Specialist
Michigan Medicine

Location: Ann Arbor, Michigan
Work Setting: Hospital
Job Function:
CDI Specialist, Educator
Job Type:
Salary Range: available upon request


Michigan Medicine is looking to hire a CDS for the department of OB/Gyn.

Job Description

Job Summary:
The Clinical Documentation Specialist (CDS) is responsible for planning, coordinating and providing education to faculty, APPs, and house officers related to clinical documentation improvement and clinical revenue optimization for the Department of Obstetrics and Gynecology and the UMMG. Apply their knowledge of medical terminology and coding to create and implement education plans and communicate the principles and importance of accurate and complete documentation to ensure appropriate payment for clinical services—both professional and facility. Partner with the department’s Physician Champion to identify gaps and opportunities for revenue capture and assist with implementation of processes in the inpatient and ambulatory clinical settings. Understand and articulate data and analysis specific to faculty/APP/house officer clinical documentation, charge capture, and revenue activity. Provide updates to leaders on status and progress of efforts to improve revenue capture. Maintain strong collaborative relationship with the Revenue Cycle department via the Revenue Quality Liaison (RQL).

Core Responsibilities and Expectations*:
• Serves as the primary source of contact and resource for faculty, APPs, and house officers with regard to clinical documentation and medical coding for patient care services
• Develops tools to assist providers with efficient, effective documentation and accurate coding
• Prepares reports to provide feedback on provider and coding performance including state of documentation, charge capture, and reconciliation
• Identifies documentation trends to be shared with the Physician Champion to allow for clinician education
• Provides group and one-on-one education for faculty, APPs, and house officers, as needed
• Prepares case and specialty specific documentation examples and power point presentations to be shared at department meetings
• Analyzes data to prioritize areas of RVU recovery
• Assists with UMMG and department initiatives to improve revenue and reduce avoidable write offs
• Develops strategies to optimize inpatient and outpatient charge capture and facilitate change processes required
• Serves as a resource on documentation requirements and ensure compliance with applicable laws and regulations
• Assists in onboarding new faculty with orientation to documentation, coding and reports
• Performs chart reviews for the purpose of providing feedback to individual providers
• Partners with the RQL to ensure smooth handoffs and follow-up to units within Revenue Cycle and ensure consistent communication between all parties
• Maintains current with specialty coding updates, work processes, tools, and clinical and administrative applications necessary to perform job functions
• Project a professional and positive image when interacting with patients, faculty and staff
• Performs other duties appropriate to the CDS function, as assigned

Department Specific Responsibilities and Expectations:
• Work on problem solving to optimize charge capture, coding, and billing and interpret resulting Revenue Cycle metrics.
• Augment onboarding and faculty/resident/APP education
• Provide ongoing and real-time feedback, dashboard metrics, payor/regulatory updates, transparency, and communication
• Develop templates to augment efficient, effective, accurate documentation/billing
• Develop strategies to optimize clinic charge capture, focused on procedures
• Promote a culture where Revenue Cycle is top-of-mind for faculty/providers
• Serve as an on-site point of contact for coding and/or revenue cycle questions
• On-going chart review for identified surgeries and payors
• At the elbow support, when requested
• Review of all surgical cases for new faculty for the first 3 months, with a monthly meeting between the faculty member and CDS during this time period
• Provide education for faculty across the Department
The CDS will be supervised by the Chief Department Administrator or designee.
The CDS does not have supervisory responsibilities.

Required Qualifications

Required Qualifications:
• Associate’s Degree or equivalent
• At least five years of medical coding experience
• Current RHIT, RHIA or CPC certification
• 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 for 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 an 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
• Attention to detail with thoroughness and accuracy when accomplishing a task
• Possess proactive, strategic, innovating and out-of-the-box thinking
• Flexibility to work on-site and remotely

Preferred Qualifications

Desired Qualifications:
Previous experience working with Obstetrics & Gynecology clinical documentation is preferred.

Education Qualifications

Required Qualifications:
• Associate’s Degree or equivalent
• At least five years of medical coding experience
• Current RHIT, RHIA or CPC certification


Available upon request.

Instructions for Resume Submission

Please use the link below to submit your resume

Posted: March 17, 2021 at 2:11 PM
Post ID: 59519

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