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:
TECHNICAL CAPABILITIES: MEDICAL CODING (INTERMEDIATE):
- 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.
- 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.
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.
High School Diploma or GED (or equivalent experience) and 3 years relevant experience Licensure, Certification, and/or Registration (LCR):
Additional Qualification Information:
- Licensed Discipline Specific Required
Physical Requirements/Strengths needed & Physical Demands:
- RHIT, RHIA, CPC, CCS, COC, CPC-H, CCS-P, or RCC certification required.
- 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.
- 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.
Environmental Conditions Req ID:
- 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.
Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action.