Senior Coding Specialist (Facility Edits and Denials) - REMOTE

Vanderbilt University Medical Center•Nashville, TN

2d•Remote

About The Position

This role involves reviewing, accurately assigning, and abstracting professional and outpatient facility diagnostic and procedural codes to encounters using designated coding classification independently. The Senior Coding Specialist will also support ongoing training and development of staff. The position requires developing efficient workflows to organize and prioritize complex coding work, ensuring compliance with regulatory requirements and hospital targets. The specialist will utilize designated coding classification systems and guidelines for accurate code selection, considering resource utilization during patient encounters. Proactively identifying documentation gaps or inconsistencies that may impact code assignment and initiating coding queries or tasks for clarification are key aspects of the role. The position demands advanced knowledge and expertise in professional and outpatient facility coding practices, providing guidance and support to coding staff on complex scenarios and regulatory requirements, and staying updated on changes in coding regulations and guidelines.

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 experience
High School Diploma or GED
MEDICAL PROFESSIONAL AND OUTPATIENT FACILITY CODING (ADVANCED)
MEDICAL TERMINOLOGY AND DOCUMENTATION (ADVANCED)
CRITICAL THINKING (ADVANCED)
COMPLIANCE (ADVANCED)

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.
Develop efficient workflows to organize and prioritize complex coding work to ensure compliance with regulatory requirements and hospital targets.
Utilize designated coding classification systems and guidelines to ensure accurate code selection; consider the utilization of resources during patient encounters to reflect the appropriate codes.
Proactively identify documentation gaps or inconsistencies that may impact code assignment; initiate coding queries or tasks to clarify documentation and ensure accurate code assignment.
Demonstrate advanced knowledge and expertise in professional and outpatient facility coding practices ; provide guidance and support to coding staff on complex coding scenarios and regulatory requirements; stay updated on changes in coding regulations and guidelines to maintain subject matter expertise.