Senior Coding Specialist (Facility Edits and Denials) - REMOTE

Vanderbilt University Medical Center•Nashville, TN

3d•Remote

About The Position

Vanderbilt University Medical Center (VUMC) is seeking a Senior Coding Specialist for Facility Edits and Denials. This remote position involves reviewing, accurately assigning, and abstracting professional and outpatient facility diagnostic and procedural codes using designated classification systems independently. The role also supports ongoing training and development of staff. VUMC is a leading academic health system committed to advancing health and wellness through patient care, education, and research, fostering an environment where everyone can thrive.

Requirements

Certified Coding Associate - American Health Information Management Association (AHIMA)
Certified Coding Specialist - American Health Information Management Association (AHIMA)
Certified Coding Specialist - Physician - American Health Information Management Association (AHIMA)
Certified Outpatient Coder - American Academy of Professional Coders
Certified Professional Coder - Outpatient - American Academy of Professional Coders
Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)
Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
Relevant Work Experience
4 years of experience
High School Diploma or GED
Advanced knowledge in medical professional and outpatient facility coding.
Advanced knowledge in medical terminology and documentation.
Advanced critical thinking skills.
Advanced understanding of compliance rules and regulations.

Responsibilities

Reviews, accurately assigns, and abstracts professional and outpatient facility diagnostic and procedural codes to encounters using designated coding classification independently.
Supports ongoing training and development of staff.
Develops efficient workflows to organize and prioritize complex coding work to ensure compliance with regulatory requirements and hospital targets.
Utilizes designated coding classification systems and guidelines to ensure accurate code selection; considers the utilization of resources during patient encounters to reflect the appropriate codes.
Proactively identifies documentation gaps or inconsistencies that may impact code assignment; initiates coding queries or tasks to clarify documentation and ensure accurate code assignment.
Demonstrates advanced knowledge and expertise in professional and outpatient facility coding practices; provides guidance and support to coding staff on complex coding scenarios and regulatory requirements; stays updated on changes in coding regulations and guidelines to maintain subject matter expertise.