Risk Adjustment Coder Jobs in Michigan (NOW HIRING)

At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve.
Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact.
Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all.

GENERAL SUMMARY: 

The Inpatient Clinical Documentation Integrity (IP CDI) Supervisor uses clinical, coding, and CDI knowledge and experience to improve the quality and integrity of documentation in the electronic medical record (EMR). Identifies factors influencing the complexity of a patient’s diagnosis and treatment plan. Serves as a CDI resource and works collaboratively with physicians, residents, advanced practice providers, nursing, and ancillary services. Champions for the advancement of the Henry Ford Health IP CDI program. 

PRINCIPLE DUTIES AND RESPONSIBILITIES: 

1. Oversee day-to-day CDI frontline team operations: personnel scheduling, retrospective review assignment, work queue (WQ) troubleshooting and clean up, query resolution and reconciliation, additional daily responsibilities as determined 

2. Review clinical evidence and diagnostic results in the electronic medical record (paper record during downtime) to ensure that documentation is complete and compliant, accurately reflecting complexity of care and resource consumption 

3. Use clinical experience and knowledge of ICD-10-CM Coding Guidelines and risk adjustment measures to identify opportunities to clarify documentation 

4. Identify and bring forward opportunities for education 

5. Conduct CDI quality audits for completeness of review and opportunity capture. Communicate findings and opportunities for education/remediation to operational managers. 

6. Conduct CDI quality audits of queries for compliance with ICD-10-Coding Guidelines, regulatory standards, and industry best practices. Communicate findings and opportunities for education/remediation to managers. 

7. Formulate compliant queries and adhere to approved process for query resolution 

8. Collaborate with coding on retrospective reviews and queries 

9. Perform reconciliation reviews to ensure query impact is accurately captured 

10. Review CDI/Coding DRG mismatches and follow approved process for resolution 

11. Conduct subsequent case reviews and identify new query opportunities 

12. Collaborate with Quality department to ensure that documentation supports quality pathways and initiatives 

13. Understand and value the importance of data quality and integrity 

14. Strive to establish and strengthen interdepartmental relationships and workflows 

15. Maintain knowledge of new and existing ICD-10-CM Coding Guidelines, MS and APR-DRG reimbursement, and documentation requirements 16. Answer clinician questions regarding level of documentation detail for accurate, complete coding of conditions and procedures 

17. Serve as a resource for clinician education regarding the significance of appropriate documentation to support acuity of care 

18. Serve as a resource for coding staff with clinically based questions related to assignment of ICD-10-CM codes 

19. Assess workflows, forms, policies, and processes regularly and recommend changes as appropriate

EDUCATION/EXPERIENCE REQUIRED:

• Registered Nurse (RN), OR • Certified Nurse Practitioner (CNP), OR • Physician Assistant (PA-C), OR • ECFMG Certified International Medical Graduate • Demonstrated clinical competence as evidenced by five years’ experience in an acute care setting 

• Minimum three years IP CDI experience 

• Demonstrated knowledge of ICD-10-CM Coding Guidelines • Knowledge of revenue cycle processes preferred.

 CERTIFICATIONS/LICENSURES REQUIRED: 

• Current Registered Nurse license, OR • Current Certified Nurse Practitioner (CNP) or Physician Assistant (PA-C) license, OR • Current Educational Commission for Foreign Medical Graduates (ECFMG) credentials • Certified Clinical Documentation Specialist (CCDS) preferred