Company: MyMichigan Health
Posted on: November 17, 2022
This position is responsible for providing on-going coding,
documentation and compliance education to providers and their
office staff. They are then responsible for monitoring coding and
documentation performance through random chart audits and regular
meetings to communicate findings with providers and staff; follow
up as necessary (additional reviews, analysis of benchmarking
profiles, etc.). The position must also provide continual coding
and payer updates and research coding issues that will arise.
(35%)* Orientation of new providers and staff (including locum
tenens and new residents); on-going review and training for up to
six (6) months.
(25%)* Conduct provider (physician and non-physician) and staff
education on an on-going basis. Once per month minimum. Education
will include formal small group presentations.
(25%)* Responsible for reviewing notes related to patient or payer
complaints/concerns related to evaluation and management coding as
well as patient requests for denials on services provided at the
facility. After review, responsible for timely communication to the
patient, payer and physician (if needed) to address their
(15%)* Conduct bi-annual chart audits, 1-2 week pre-review process
for all providers, provide feedback and education on outcome of
reviews and the Work Relative Value Unit (WRVU) impact.
OTHER DUTIES AND RESPONSIBILITIES:
Complete audits of Office Of Inspector (OIG) focused areas for
review as needed for Corporate Compliance. Semi-annual monitoring
and analysis of utilization benchmark reports to Centers for
Medicaid and Medicare Services (CMS) norms. Code difficult cases at
the request of providers. MyMichigan Health is a technology driven
organization and employees need to demonstrate competency in
Microsoft Windows. An employee may be required to participate in
further learning opportunities offered by MyMichigan Health.
EXPERIENCE, TRAINING AND SKILLS:
Four (4) years' experience in the medical field is required.
Two (2) years physician coding and billing experience is
One (1) year with direct physician contact required.
Strong interpersonal, written and communication skills
Being an effective educator, self-start and highly organized is
Ability to exercise initiative and judgment is required.
Knowledge of medical terminology and anatomy.
Knowledge of Word, Excel and PowerPoint is preferred.
PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:
Exposure to stressful situations, including those involving public
contact, as well as, trauma, grief and death.
Able to wear personal protective equipment that includes latex
materials or appropriate substitute if required for your
Is able to move freely about facility with or without an assisted
device and must be able to perform the functions of the job as
outlined in the job description.
Overall vision and hearing is necessary with or without assisted
Frequently required to sit/stand/walk for long periods of time. May
require frequent postural changes such as stooping, kneeling or
Some exposure to blood borne pathogens and other potentially
Must follow MyMichigan Health blood borne pathogen and TB testing
Ability to handle multiple tasks, get along with others, work
independently, regular and predictable attendance and ability to
Overall dexterity is required including handling, reaching,
grasping, fingering and feeling.
May require repetition of these movements on a regular to frequent
Physical Demand Level: Sedentary.
Must be able to occasionally (0-33% of the workday) lift or carry
Keywords: MyMichigan Health, Midland , Coding Educator, Other , Midland, Michigan
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