BASIC FUNCTION AND RESPONSIBILITY
Direct and coordinate all activities related to the response to external audit activities, appeals, and denials. Work with stakeholders to create proactive systems that will reduce the risk of future denials. Oversee the operational functions that require a comprehensive knowledge of organizational development and processes including; Birth Certificate (Vital Statistics) and Compliance & Auditing units. Support the appropriate disclosure of protected health information through health information exchange in accordance with federal and state law and UMHS policy. Primary activities are performed independently but in consultation with the Senior Manager.
- Bachelor?s Degree in Health Information Technology, Health Information Management, or relevant area of study is required.
- 3-5 years of progressively more responsible experience in a health information management or appeals / revenue cycle billing department is required.
- 1-2 years of supervisory experience is required.
- 2 or more years' experience in analyzing and interpreting data in a healthcare-related field is required.
- Maintenance of professional certification (as applicable) and American Health Information Management Association (AHIMA) membership required. Knowledge of standard medical terminology, anatomy and physiology is required.
- Knowledge of medical terminology, medical treatment methods, pharmacology, patient care assessment, medical documentation requirements, data collection techniques is required.
- Demonstrated ability to collect and analyze medical information is required.
- Demonstrated customer focus and the knowledge and skill to identify, meet, and evaluate customer expectations is required. Broad customer service experience with patients, families, physicians, and executive leadership is required.
- Ability to work independently or in a team with minimal supervision required.
- Strong communication skills for interactions with clinicians and staff required.
- Logical, analytical, and organized, able to reprioritize work quickly and efficiently is required.
- Ability to work in a fast-paced environment under multiple pressures and deadlines is required.
- Knowledge and understanding of HIPAA and state laws regarding releasing protected health information is required.
- Demonstrated critical thinking and analytical skills to understand root cause issues and how best to display information that is useful in creating opportunities for improvement with particular focus on clinical documentation improvement to support regulatory requirement is required.
- Ability to present findings both verbally in writing, clearly and succinctly, to a variety of stakeholders in clinical, business, and executive environments is required.
- Experience using an electronic health record (EHR) application is required.
- Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or equivalent professional certification is desired,
- Experience using UMHHC information systems / applications (i.e. Epic MiChart, MyUofMHealth Patient Portal, Epic CareLink Provider Portal, etc.) is desirable.
- Masters? degree in Health Information Management, Health Care Administration, Public Health Administration, or similar field is desired.
- LEAN healthcare certification is desired.
- HIMSS membership is desired.
SUPERVISION RECEIVED
Direction is received from the Senior Manager of Health Information Exchange and Compliance, Health Information Management.
SUPERVISION EXERCISED
Functional and administrative supervision is exercised over Health Information Analyst Staff.
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.
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.
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.
The University of Michigan is an equal opportunity/affirmative action employer.
