Job Information
Vanderbilt University Medical Center CODING SPECIALIST in Nashville, Tennessee
Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and where your diversity of culture, thinking, learning, and leading is sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves, take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilt’s mission is to advance health and wellness through preeminent programs in patient care, education, and research.
Organization:
NLI Billing & Coding
Job Summary:
JOB SUMMARY
The Coding Specialist is responsible for reviewing documentation in the entire medical record to assign the appropriate ICD-10 CM and HCPCS/CPT codes that will result in complete, accurate and consistent reimbursement for services provided in accordance with federal, state and private documentation guidelines. Serves as a resource to coding and other staff relative to coding and documentation requirements.
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KEY RESPONSIBILITIES
• Advanced knowledge of CPT, ICD-10 and HCPCS coding
• Knowledge of coding and reimbursement issues; insurance issues and regulations; documentation requirements
• Utilize appropriate coding guidelines and references on a continuing basis
• Demonstrate ability to read and comprehend medical record documentation
• Assign codes accurately and timely
• Maintains up to date listing of work completed and in process
• Assists with Compliance and/or Internal Audits
• Demonstrate extensive knowledge of medical terminology, human anatomy, and physiology to interpret general medical classifications and adhere to Compliance Rules and Regulations
• Review clinical documentation to ensure that assigned codes are supported; recognize when vital information is missing and work with clinic to obtain documentation
• Demonstrate current competencies applicable to the job position
• Maintain productivity standards as set by management
• Organize and prioritize work appropriately
• Take initiative in identifying/researching coding issues
• Actively pursue continuing education credits designated by professional association
TECHNICAL CAPABILITIES
Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.
At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.
Core Accountabilities:
Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to team members.
Core Capabilities :
Supporting Colleagues:- Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e and gain knowledge in new areas.- Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.- Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences. Delivering Excellent Services:- Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.- Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.- Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.- Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them. - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring. Managing Resources Effectively: - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.- Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.- Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities. Fostering Innovation:- Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.- Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.- Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.
Position Qualifications:
Responsibilities:
Certifications:
Certified Outpatient Coder - American Academy of Professional Coders
Work Experience:
Relevant Work Experience
Experience Level:
2 years
Education:
High School Diploma or GED
Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and to the principles of equal opportunity and affirmative action. EOE/AA/Women/Minority/Vets/Disabled
Vanderbilt University Medical Center
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