Clinical Documentation Spec

Job Summary

The Clinical Documentation Specialist (CDS) is responsible for planning, coordinating, and providing education (in various forms and delivery pathways) to faculty, APPs, and house officers related to clinical documentation improvement and clinical revenue optimization for the Department of Ophthalmology and Visual Sciences (OVS) https://medicine.umich.edu/dept/ophthalmology and the University of Michigan Medical Group (UMMG). Apply 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(s) and administrator to identify gaps and opportunities for revenue capture and assist with the 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 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.

Who We Are

The W.K. Kellogg Eye Center is home to the University of Michigan Department of Ophthalmology and Visual Sciences, which is part of the University of Michigan Medical School and Michigan Medicine.

• Purpose: Improve lives through curing, preventing, and treating eye disease
• Vision: We seek to improve lives around the world by enhancing vision

The Kellogg Eye Center is a nationally recognized center for vision care and research. Our faculty includes outstanding ophthalmologists and vision researchers; our clinical and research programs win continued support from key federal agencies and private foundations.

Kellogg ophthalmologists conduct more than 150,000 patient visits each year, offering an exceptional range of services. The primary facility in Ann Arbor features a comprehensive ophthalmology and cataract surgery clinic and eight subspecialty clinics. Kellogg also serves its patients with specialists in genetic counseling, ocular prosthetics, and ophthalmic photography. These services attract patients from all parts of the nation, and we are known as an important referral center for the Midwest and beyond.

Our scientists have developed a strong vision research program that explores the genetic, molecular, and biochemical underpinnings of sight. Their varied and innovative scientific perspectives place Kellogg in a leadership position for developing new treatments and therapies for blinding eye disease.

Our Department of Ophthalmology and Visual Sciences, established in 1872, serves as the teaching arm of the UM Medical School. In that role we attract talented residents and fellows, who will go on to practice ophthalmology throughout the world.

We are proud to be part of Michigan Medicine, one of the largest and most prestigious medical, research and educational institutions in the country.

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
• 2:1 Match on retirement savings

Responsibilities*

• 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:

• Denial prevention. Monitor precertification process and provide continuous needs assessment. Assist with audits, appeals, and peer-to-peer reviews. Collaborate with coder/biller education
• Denial reporting. Establish review parameters and identify priorities. Provide denial assistance, identify areas of deficiency, and define organizational impact
• Revenue optimization. Establish benchmarks and metrics. Develop projections and track revenue increase

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

Desired Qualifications*

• Familiarity and/or experience with Ophthalmology coding
• Ability at identifying, preventing, and alleviating workflow barriers to clinical practice

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 Statement

The University of Michigan is an equal employment opportunity employer.

262481

Clinical Documentation Spec

Clinical Documentation Spec

Ann Arbor Campus

Hybrid

Full-Time

Regular

Exempt

Medical School

MM Ophthal. & Visual Science

4/17/2025 - 5/01/2025

Healthcare Admin & Support