HEALTH INFORMATION MANAGEMENT ANALYST II - COMPLIANCE AND AUDITING

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*

PERCENTAGE OF DUTIES

• Identify and produce electronic and / or paper medical records for auditors, payers, and regulatory requirements under predetermined timelines (including legacy source systems). 70%
• Participate in unit-specific, department-wide, or UMHS-initiated process improvement efforts. 10%
• Partner with other Revenue Cycle colleagues (e.g., Hospital Billing, Audits and Appeals) to ensure complete and timely production of medical records. 5%
• Coordinate remote record reviews; provide system access and training and assist remote auditors. 5%
• Certify the accuracy of medical record information for legal certification. 5%
• Identify issues / make recommendations or improvements. 5%

Skills You Have

• Attention to Detail : Achieves thoroughness and accuracy when accomplishing a task.
• Electronic Health Record Review : Locates, validates, and processes medical record documentation so its accessibility, reliability, and timeliness are ensured to satisfy the needs of end-users
• Analysis : Analytical skills with the ability to visualize, articulate, and solve complex problems and concepts and make decisions based on available information.

Ability to analyze detailed information to determine appropriate compliance with privacy and security rules

• Critical Thinking : Gathers and integrates critical information to arrive at effective solutions
• Decision Making : Makes timely, informed decisions that consider the facts, goals, constraints, and risks.

Required Qualifications*

• An Associate of Health Information Technology or equivalent education and experience is required.
• 1 year of experience using an electronic health record (e.g., EPIC) and administrative systems is required.
• Ability to read and understand complex medical documentation is required
• Knowledge of general healthcare audit management practices is required
• Ability to work independently or in a team with minimal supervision is required
• Ability to assess and extract appropriate clinical information from a patient's medical record is required.
• Knowledge of medico-legal aspects of health information management, medical terminology, medical treatment methods, pharmacology, patient care assessment, medical documentation requirements, and data collection techniques is required
• Considerable experience with Windows computer environment and proficiency with MS Office is required
• Knowledge of The Joint Commission standards, CMS regulations, and other regulatory agency requirements
• Maintaining active certification (as applicable) and American Health Information Management Association membership is required (as applicable)
• 1 year of experience in producing medical records from an EHR application.

Desired Qualifications*

• Experience using UMH Michigan Medicine EHR (MiChart) is desired.
• Associates Degree in Health Information Technology or Bachelor's Degree in Health Information Management or Healthcare Administration desired
• Certified Revenue Cycle Representative certification through the Healthcare Financial Management Association) desired
• Knowledgeable of Revenue Cycle processes including billing, insurance and / or coding practices
• Experience working with insurance companies and third-party payers is desired.
• Understanding and ability to interpret medical terminology and insurance benefit information is desired
• Certification as a Registered Health Information Administrator (RHIA) or a Registered Health Information Technician (RHIT) through the American Health Information Management Association (AHIMA) or an equivalent combination of education, professional certification, and experience is desired

Work Schedule

• Standard business hours Monday through Friday between 7 : 30 AM and 4;00 PM. Flexibility to scheduled hours upon supervisor approval.
• Hybrid training is required for this position and will take place onsite at the KMS office location and remotely via Microsoft Teams and / or Zoom
• This is a primarily remote position once training is completed and performance-based

competency has been achieved.

The position requires a weekly (1 day) onsite rotation to support unit operations unless otherwise approved or accommodated

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