Behavioral Health Services Coding Research Specialist

State of Michigan
Full Time, Permanent $2,609 - $3,892 Per month MI State of Michigan Department of Health and Human Services, 44777 N Gratiot Ave, Clinton Twp, MI 48036, United States Apply before 5/22/2024 11:59
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Overview

The Michigan Department of Health and Human Services mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable environment for residents to be self-sufficient. We are committed to ensuring a diverse workforce and a work environment whereby all employees are treated with dignity, respect and fairness. For more information, please visit . 

This position functions as the behavioral health services coding research specialist responsible for reporting rules for specialty behavioral health services and supports. In this role, this position has sole responsibility for initiating, overseeing, contributing to, and coordinating information gathering and research to determine the assignment of federal billing codes to each of the 200+ services in the behavioral health service array. Accurate and uniform reporting of specialty behavioral health supports, and services is critical for the Behavioral and Physical Health and Aging Services Administration (BPHASA) as this information is used by the state’s actuary as required by Balanced Budget Act to create PIHP-specific rates for the $3.1 billion yearly budget. As the specialist in this function and as chair of the Encounter Data Integrity Team (EDIT) this position identifies coding issues for review and resolution and contributes to and coordinates the work of numerous billing, coding, financial, and policy experts. The Encounter Data Integrity Workgroup (EDIT) PIHP and CMHSP membership has expertise in federal guidelines for reporting behavioral health services for billing and actuarial purposes. This position has sole responsibility for maintaining and updating the Administration’s specialty behavioral health clarification documents that summarize federal service and supports coding standards, such as the Healthcare Common Procedure Coding System (HCPCS), the Current Procedural Terminology (CPT) code sets and the Uniform Billing Manual. These clarification documents are designed to ensure uniform, standard reporting of supports and services across Michigan’s 10 behavioral Health Pre-Paid Inpatient Health Plans (PIHPs), 46 (Community Mental Health Services Providers (CMHSPs) and numerous providers of substance use disorder services.
 
 This position also works in an independent capacity to extract, prepare, and analyze data and create reports from the Division’s key data sources including the demographic (Quality Improvement, and Behavioral Health Treatment Episode Dataset) and encounter data from the department’s data warehouse and the performance indicator system. Reports include Section 904 of the yearly appropriations act, data tables for the annual mental health block grant, and quarterly and yearly analyses for the mission-based performance indicator system. This position is also responsible for responding to ad hoc data requests which typically require the ability to solve complicated data analysis problems. This position responds to technical questions about the Division’s data systems such as the Quality Improvement data and the performance indicator system. The individual in this position works closely with other staff to support their efforts to apply these data systems for analytic purposes.




To be considered for this position you must:

  • apply for this position online via NEOGOV; click on "Apply" in the job posting for instructions on submitting your electronic application. Hard copy applications are not accepted.
  • relevant experience and/or education referred to in supplemental questions must be documented in resume, transcript and/or application to allow for accurate screening.
  • attach a resume identifying specific experience and dates of employment. Dates of employment should include month and year and hours per week.
  • attach a cover letter.
  • if applicable, attach a copy of an official transcript(s).  We accept scanned copies of official transcripts.  We do not accept web-based, internet, or copies of unofficial transcripts.  Official transcripts provide the name of the institution, confirmation that a degree was awarded and on what date, and the registrar's signature.
Failure to complete any of the above items may result in your application not being considered.  See instructions for attaching files here:  



Required Education and Experience

Education
Possession of a bachelor’s degree in any major

Experience

Departmental Specialist 14
Four years of professional experience, including two years equivalent to the experienced (P11) level or one year equivalent to the advanced (12) level.


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Additional Requirements and Information

The physical location of this position is Capital Commons.  Based on operational needs and within established limits, remote work and alternate or hybrid work schedule requests for this position may be considered.
 
Selected candidates who have been approved to work remotely or a hybrid schedule must complete that work within Michigan. Candidates should confirm work location and schedule at the time of interview.  
 

Employees will be provided computers to perform state work.  Phones may also be provided for necessary communications. If working remotely, employees will be responsible for providing other components of a remote office at their own expense, including:

  • A secure work location that allows privacy and prevents distractions.
  • A high-speed internet connection of at least 25 Mbps download and 5 Mbps upload.
  • Suitable lighting, furniture, and utilities.
The use of artificial intelligence (AI) software of any kind is prohibited in all areas of the selection process; including, but not limited to, responses to application questions, and responses to interview questions or exercises.

YOUR APPLICATION FOR ANY POSITION DOES NOT GUARANTEE YOU WILL BE CONTACTED BY THE DEPARTMENT/AGENCY FOR FURTHER CONSIDERATION.  ONLY THOSE APPLICANTS INTERVIEWED WILL BE NOTIFIED OF THE RESULTS.

The department reserves the right to close this posting prior to its original end date once a sufficient number of applications have been received.

If you previously held status in this classification and departed within the last three (3) years, please contact Human Resources regarding your interest in a potential reinstatement. Reinstatement is not guaranteed or required.

For information about this specific position, please email . Please reference the job posting number in subject line. 

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MDHHS is proud to be a Michigan Veteran’s Affairs Agency (MVAA) Gold Level Veteran-Friendly Employer.
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