University of Michigan
Program Evaluation Specialist
Ann Arbor, MI
Nov 28, 2024
Full-time
Full Job Description

Job Summary

Provide guidance and support to the Coding/CDI unit, ensuring smooth operation and high-quality coding practices. Develop metrics from MiChart and 3M CAC systems, assist in the management of daily operations, and support data requests from various departments. Serve as a mentor and resource for new coders and facilitate their training. Handle technical support and workflow optimization and be the primary point of contact for day-to-day coder questions.

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.

Responsibilities*

LEADERSHIP and TEAM COORDINATION

  • Act as a mentor and resource for new coders, assisting with their training and professional development.
  • Conduct team meetings and training sessions to ensure coding staff are up-to-date with new systems, guidelines, and practices.
  • Champion team morale and foster a collaborative environment.

OPERATIONS

  • Design requirements, criteria, and metrics to meet the end user?s needs for evaluation and interpretation.
  • Develop standardized reports to assist management in daily operations of IP Coding.
  • Create change requests in 3M tables and databases.
  • Manage 3M custom edits and work with management to add or delete as needed.
  • Design, document, perform and coordinate application/interface testing for Coding Unit (3M CAC,  MiChart). 
  • Collaborate with Admitting, Utilization Management, Practice Management, Hospital Billing and MiChart teams to resolve technical and process issues related to MiChart install and upgrades. 
  • Evaluate the integrity and comparability of data and identify gaps in data sources.
  • Educate and advise on data capture and maintenance functions.
  • Design functional attributes of data structures, data fields, and input templates.
  • Design and implement data quality and integrity validation strategies and methods.
  • Support outside data abstraction processes; such as the Michigan Hospital Association and Children?s Hospitals data reports, and identify and opportunities for data capture improvements.
  • Perform customer acceptance testing for the annual Encoder/Grouper, 3M CAC, and MiChart system upgrades.
  • Assist DRG Compliance Auditors in secondary coding reviews as needed.
  • Develop and coordinate educational and training programs regarding system upgrades and changes to all Coding/CDI staff,
  • Maintains currency with work processes, tools, and clinical and administrative applications necessary to perform job functions
  • Participate in and demonstrate an understanding of the Michigan Quality System/Continuous Quality Improvement and applies Lean Thinking concepts in daily work
  • Demonstrate initiative by continuous expansion of knowledge and skills
  • Participate in department/unit activities including, but not limited to, staff meetings and in-services
  • Perform other duties as assigned in order to maintain the efficiency of the department          

CUSTOMER SERVICE

  • Demonstrate excellent customer service skills in working with Coding/CDI staff, clinicians, and other UMHS staff.
  • Provide technical support to the coding team and open tickets for unresolved issues.
  • Field day-to-day coder questions and provide timely and effective resolutions.

SKILL SET

  • Strong leadership and mentoring abilities with the ability to inspire and motivate a team.
  • Analytical skills with the ability to visualize, articulate, and solve complex problems and make independent decisions based on available information regarding compliant coding and billing practices.
  • Ability to communicate with both technical systems resources as well as business users.
  • Knowledge of coding software reporting systems, EHR, and billing systems.
  • ICD-10 coding knowledge with a strong understanding of the AHA Official ICD-10 Coding Guidelines and how to apply them.
  • Excellent communication skills to enable effective outcomes with diverse and complex clinical care teams.
  • Attention to detail with thoroughness and accuracy when accomplishing tasks.

Required Qualifications*

  • Registered Health Information Technologist or Administrator (RHIT/RHIA).
  • Minimum of three to five years of experience in an academic medical center with ICD-10-CM inpatient coding.
  • Knowledge of inpatient coding and coding/abstracting systems required.
  • Extensive knowledge and 1-3 years advanced experience with Excel, and other Microsoft office products is required.
  • Extensive knowledge of ICD-10 coding guidelines, DRG process, POA, SOI and ROM scoring methodology. 
  • Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing.
  • Ability to work independently, self-motivated and an ability to adapt to the changing healthcare environment.
  • Excellent verbal and written communication skills, analytical thinking and problem-solving skills with attention to detail are required.
  • Proficiency in organizational skills and planning with an ability to juggle multiple priorities in a fast-changing environment.
  • Proficiency in computer use, including database and spreadsheet analysis, presentation program, word processing and internet search.
  • Ability to navigate the EHR to identify documents for review to provide accurate capture of clinical information.

Modes of Work

Mobile/Remote - the work requirements allow for the majority or all the work to be completed offsite. On occasion, the employee may be required and must be available to work onsite if necessitated by unit leadership or their designee and/or the job require

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.

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Job Information
Job Category:
Administrative and Clerical
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Program Evaluation Specialist
University of Michigan
Ann Arbor, MI
Nov 28, 2024
Full-time
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