Coding Specialist, Professional Billing Coding Edits - 100% REMOTE

Coding Specialist, Professional Billing Coding Edits - 100% REMOTE -

Job : Medical Coding and Billing

Primary Location : Work from Home

Organization : Coding-Medicine/OBGYN/Neuro 108488

Shift: : First Shift

Description

Coding Specialist, Professional Billing Coding Edits - 100% REMOTE

JOB SUMMARY:

Reviews, accurately assigns, and abstracts diagnostic and procedural codes to encounters using designated coding classification under occasional guidance.

KEY RESPONSIBILITIES:

• Organizes and prioritizes coding work to ensure compliance with regulatory requirements and hospital targets.
• Assigns the most appropriate diagnosis and procedures to reflect the utilization of resources during the patient encounter.
• Recognizes documentation clarification opportunities to ensure it supports all codes and designation assignments. Initiates coding queries or tasks.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES:

MEDICAL CODING (INTERMEDIATE): - The transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.

MEDICAL TERMINOLOGY & DOCUMENTATION (INTERMEDIATE): - The ability to comprehend medical terminology and documentation in an office, or surgical setting.

CRITICAL THINKING (INTERMEDIATE): - The objective analysis and evaluation of an issue in order to form a judgment.

COMPLIANCE (INTERMEDIATE): - Understanding the rules, regulations, sanctions and other statutory requirements, guidelines and instructions relating to governing bodies and organizations, both internally and externally.

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 (P2):

• • Develops Self and Others: Invests time, energy and enthusiasm in developing self/others to help improve performance 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 (P2):

• • 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 (P2):

• • 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 (P2):

• • 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 (P2):

• • 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.

Basic Qualifications

High School Diploma or GED (or equivalent experience) and 3 years relevant experience

Licensure, Certification, and/or Registration (LCR):

• Licensed Discipline Specific Required

Additional Qualification Information:

• RHIT, RHIA, CPC, CCS, COC, CPC-H, CCS-P, or RCC certification required.

Physical Requirements/Strengths needed & Physical Demands:

• Sedentary category requiring exertion up to 10 lbs. of force occasionally and uses negligible amounts of force to move objects. Sedentary work involves sitting most of the time.

Movement

• Occasional: Standing: Remaining on one's feet without moving.
• Occasional: Walking: Moving about on foot.
• Occasional: Lifting under 35 lbs: Raising and lowering objects under 35 lbs from one level to another
• Occasional: Carrying under 35 lbs: Transporting an object holding in hands, arms or shoulders, with help of coworkers or assistive device.
• Occasional: Push/Pull: Exerting force to move objects away from or toward.
• Occasional: Bending/Stooping: Trunk bending downward and forward by bending spine at waist requiring full use of lower extremities and back muscles
• Occasional: Reaching above shoulders: Extending arms in any direction above shoulders.
• Occasional: Reaching below shoulders: Extending arms in any direction below shoulders.
• Occasional: Handling: Seizing, holding, grasping, turning or otherwise working with hand or hands.
• Occasional: Bimanual Dexterity: Requiring the use of both hands.
• Frequent: Sitting: Remaining in seated position
• Frequent: Fingering: Picking, pinching, gripping, working primarily with fingers requiring fine manipulation.

Sensory

• Continuous: Communication: Expressing or exchanging written/verbal/electronic information.
• Continuous: Auditory: Perceiving the variances of sounds, tones and pitches and able to focus on single source of auditory information
• Continuous: Vision: Clarity of near vision at 20 inches or less and far vision at 20 feet or more with depth perception, peripheral vision, color vision.

Environmental Conditions

Req ID:

Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action.