|Required Experience:||5 to 7 years
|Preferred Experience:||8 to 10 years
|Location:|| Ann Arbor 48108, MI, US* Note: This listing is for a remote position
planning, organization, actuation, and control of Revenue Cycle Mid-Service functions.
Lead the planning, development, and implementation of policies and procedures
to support strategic objectives for the management of Outpatient Facility and Professional
(OP Facility/Professional) Coding services. Direct all activities related to
vendor management of assigned units. Lead operational units and manage
resources to meet departmental goals and objectives. Work with operational,
clinical, and executive stakeholders to create value, reduce waste, and support
the mission of Michigan Medicine.
leadership and direction of all OP Facility/Professional coding operations.
Create partnerships with clinical and executive stakeholders to foster an
understanding of coding, clinical documentation, and charge capture. Partner
with clinical and information technology (IT) resources to improve data capture
in the electronic health record (EHR) to facilitate accurate coding. Oversee
the collection of meaningful and timely unit metrics in order to make decisions
and effect change. Direct improvement efforts to ensure accurate and compliant
ICD-10 and CPT code, modifier, and other assignments. Direct improvement
efforts to build efficient and effective workflows for OP Facility/Professional
Coding. Oversee and enhance a robust OP Facility/Professional coding program
focusing on the appropriate capture of information critical for appropriate
hospital and professional reimbursement, performance measurement, and
leadership for administrative support staff. Provide leadership for
departmental programs that enhance organizational behavior. Lead special
SPECIFIC DUTIES AND RESPONSIBLITIES
and oversee the performance of Michigan Medicine and vendor staff. Recommend
and institute actions based upon performance measures to improve customer
satisfaction, increase efficiency, and improve quality.
with and advise clinical, operations, technical, and executive stakeholders on
best practices for OP Facility/Professional Coding, secondary quality review,
coding training and education, and third party denials and appeals.
- Align efforts for OP Facility/Professional Coding with
internal and external customer needs.
- Demonstrate ability to think creatively to resolve
challenging operational and project implementation matters.
- Serve as an authoritative source of documentation
requirements and other standards related to coding.
- Provide consultation across the organization regarding
opportunities to improve EHR documentation to facilitate accurate coding
and evaluate an effective plan for work area change and transition; identify
future-driven innovations, new business concepts and practices, and create
short and long- range objectives and strategies which are aligned with
a commitment to personal development and learning and maintain accreditation
and technical expertise as appropriate; protect confidential information and
ensure departmental processes to protect confidential information; demonstrate
behaviors which reflect sound personal and business ethics and integrity; model
leadership and oversight of assigned units to assure efficiency and quality of
teams, committees, and special projects as assigned.
leadership representation on institutional committees as it relates to
activities and programs.
and address change management issues related to the evolution of the Revenue
- Conduct analyses of clinical documentation to identify
opportunities and processes for improvement of completeness and
specificity to support accurate and complete diagnosis coding, charge
capture, and outcomes measurement comparison.
- Develop and implement ongoing performance measures for
OP Facility/Professional Coding accuracy and completeness for use in
institutional reporting to senior leadership and to identify operational
- Develop and implement ongoing performance measurement
processes to assure appropriate coding for ICD-10-CM, CPT, modifier and
other data elements to identify and evaluate effectiveness of the clinical
documentation improvement efforts.
as a subject matter expert on all areas of responsibility and administrative
the collection and reporting of data for statistical analysis for assigned
areas. Ensure a high degree of accuracy in all reporting.
the capture and analysis of data regarding operational performance and quality
improvement and control.
various topics regarding Revenue Cycle and prepare reports and presentations.
develop, revise, and implement programs, policies, and procedures for assigned
the creation and modification of unit, departmental, and institutional policies
and procedures within the scope of assigned responsibilities.
assigned operations and partner with unit leadership as well as other stakeholders
to implement changes to work processes as needed.
appropriate unit and departmental participation in testing of applications.
user needs and user workflow modeling.
and direct the design of Revenue Cycle-related processes, work, and information
flows. Redesign unit workflows to improve patient and provider satisfaction,
gain efficiency, decrease cost, and reduce waste. Oversee and direct Revenue
Cycle quality improvement activities incorporating Highly Reliable principles
and maintain professional relationships with colleagues and staff within the department,
across the organization, and external customers to promote mutual understanding
within the department, across the organization, and with clinical and senior
leadership to meet organizational goals.
requirements, criteria, and metrics to meet the end users’ needs for analysis
and interpretation of health information and statistics for assigned areas of
Revenue Cycle at institutional and policy making level meetings, projects, and activities.
emotional intelligence in the approach to daily activities and challenges both
operating and with personnel.
operational units and manage departmental resources to meet goals and
strategically and broadly when identifying issues and developing potential
solutions. Utilize sound strategic thinking to determine the most efficient and
effective way to achieve desired objectives and in recommending alternative
options to situations without precedent.
consistent use of Lean methodology for problem analysis and improvement.
ability to manage multiple projects and work in a balanced manner to
appropriately manage work load and assignments.
potential areas of concern and initiate tracking procedures.
multidisciplinary process improvement initiatives focused on identifying root
causes and correcting improper or ineffective processes, improving compliance,
and enhancing staff competency.
overall supervision is provided by the Senior Director of Revenue Cycle Mid-Service.
administrative supervision is exercised over OP Facility/Professional Coding
leadership and staff and administrative staff.
Bachelor's degree in Health Information Management or other healthcare-related
with the American Health Information Management Association as a Registered
Health Information Technologist/Administrator (RHIT or RHIA), certification
through the American Academy of Professional Coders as a CPC, or comparable
combination of educational preparation and experience in managing health
information and providing effective leadership.
Master's degree in public health, healthcare services administration, business
administration, health information management, or an equivalent combination of
education and experience.
customer focus and the knowledge and skill to identify, meet, and evaluate
customer expectations. Broad customer service experience with patients,
families, physicians, and executive leadership.
to ten years of progressively more responsible leadership experience in Revenue
Cycle, Health Information Management, or healthcare operations within a large,
fast-paced, and complex health care organization.
knowledge and understanding of how health information is used throughout the
organization for patient care, reimbursement, statistical analysis, research,
and as the legal record.
- Experience in project leadership in a large healthcare
organization and an understanding of project management concepts.
- Knowledge of and competence in ICD-10 and CPT coding.
and experience with influencing and facilitating clinician behavior change.
leadership skills and significant training in leadership as well as considerable
knowledge of modern management and High Reliability principles, practices, and
experience and competence in leading institutional committees, conducting
formal presentations, identifying the need for and leading institutional and
presence and experience that begets respect.
ability to lead, manage, and mentor staff through complex work redesign
analytical, and organized with the ability to direct and reprioritize work
quickly and efficiently.
to work in a fast-paced environment under multiple pressures and deadlines.
verbal and written communication skills up, down, and across the organization.
of third party payer, regulatory, and accreditation requirements.
membership in the AHIMA and/or AAPC.
- Considerable experience with Windows
computer environment and proficiency with Microsoft Office applications.
- Excellent organizational, management,
planning, interpersonal, written and oral communication skills.
- Experience in analysis of operations and re-design to
improve quality and outcomes.
- Experience and expertise in working with
medical staff and medical staff leadership on documentation improvement
- Experience providing project leadership for large Revenue
Cycle, financial, operations improvement, or regulatory projects.
- Project Management certification.
- Knowledge of University and departmental
policies and procedures.
- Experience with Epic EHR applications.