Clinical Documentation Specialist

How to Apply

A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.

Job Summary

The Department of Cardiac Surgery seeks interested applicants for the position of Clinical Documentation Specialist (CDS). The 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 Cardiac Surgery and the UMMG. They 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. The CDS p artners with the department's Physician Champion to identify gaps and opportunities for revenue capture and assist with the implementation of processes in the inpatient and ambulatory clinical settings. This position u nderstands and articulates data and analysis specific to faculty/APP/house officer clinical documentation, charge capture, and revenue activity and provides updates to leaders on status and progress of efforts to improve revenue capture. The Department CDS m aintains a strong collaborative relationship with the Revenue Cycle department via the Revenue Quality Liaison (RQL).

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*

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 PowerPoint 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 to provide 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

Supervision:

The CDS will be supervised by the Chief Department Administrator or designee.

The CDS does not have supervisory responsibilities.

Required Qualifications*

• Associate 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 diverse complex clinical care teams.
• Ability to navigate the EHR to identify documents for review to provide accurate capture of clinical information.
• Ability to work independently, be 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 paced environment.
• Proficiency in computer use including Microsoft Office Suite experience
• 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
• 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, innovative and out-of-the-box thinking
• Flexibility to work on-site and remotely

Desired Qualifications*

• Direct experience with coding and clinical documentation for Cardiothoracic Surgery and specifically operative procedures.
• Experience utilizing the EPIC platform
• Advanced knowledge of best practices in billing and the ability to stay informed of advancements and regulations in clinical documentation

Modes of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes .

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.

Job Detail

Job Opening ID

253459

Working Title

Clinical Documentation Specialist

Job Title

Clinical Documentation Spec

Work Location

Ann Arbor Campus

Ann Arbor, MI

Modes of Work

Hybrid

Full/Part Time

Full-Time

Regular/Temporary

Regular

FLSA Status

Exempt

Organizational Group

Medical School

Department

MM Cardiac Surgery

Posting Begin/End Date

8/22/2024 - 9/05/2024

Career Interest

Healthcare Admin & Support