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Coding Specialist II

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Coding Specialist II','1200769','!*!To review documentation in the entire medical record to assign the appropriate ICD-9-CM and HCPCS/CPT-4 codes that will result in complete, accurate, and consistent reimbursement for services provided in accordance with federal, state, and private documentation guidelines. To serve as a resource to coding and other hospital staff relative to coding and documentation requirements.Key Functions and Expected Performances:Maintains coding proficienciesActively pursues 22 non-qualified continuing education credits designated by the VMG Coding Department.Actively pursues continuing education credits designated by the professional association; CCS, CCS-P, CCS-H, 10 biannually; CPC, CPC-H, 18 annually; RHIT, 20 biannually; RHIA, 30 biannually.Reviews revisions to rules and regulations which govern coding; distributes new to management and coding staff.Utilizes appropriate coding guidelines and references on a continuing basisDemonstrates the ability to read and comprehend medical record documentationsAssigns ICD-9-CM and HCPCS/CPT-4 codes accuratelyDemonstrates an advanced knowledge of ICD-9 and HCPCS/CPT; assigns ICD-9 and HCPCS/CPT codes and modifiers at an accuracy rate as determined by the specific department.Demonstrates extensive knowledge of medical terminology, human anatomy and physiology to interpret general medical classifications and adheres to Compliance Rules and RegulationsReviews physician and other clinical documentation to ensure that assigned codes are supported; recognizes when vital information is missing and works with the physician to obtain the documentationProficient in multi-specialty coding and will provide coverage in assigned department as a floater.Maintains productivity standards set by the management team.Organizes and prioritizes work appropriatelyDemonstrates flexibility by adjusting to unexpected situations/requirementsConsults with manager regarding workload management, as necessaryUses new methodologies for improving efficiencyDemonstrates extensive knowledge of word processing, spreadsheets, database and Internet skillsServes as a Resource for Coding IssuesUses outside and inside resources to the extent necessary; seeks advice/approval when appropriate Takes initiative in identifying/researching coding/reimbursement issues; notifies/involves appropriate parties, including designated managerEncourages participation of others to solve problems when appropriate; develops effective solutions; involves management as needed Serves as an in-house consultant to physicians and house staff on all aspects of coding/reimbursementActs as a resource for Coding Apprentice, Coding Analyst & Coding Specialist I requirementsProvides physician education regarding coding and documentation guidelines for federal, state, and private reimbursement agenciesServes as a resource to other hospital staff members on coding and documentation guidelinesDemonstrates advanced written and verbal communication skillsResponds courteously and promptly to all customers; strives to maintain the highest level of customer service; maintains a good attitude, considerate of co-workers, and is a team player. Maintains strict patient confidentiality Participates in projects as assignedMaintains attendance and punctuality consistently; follows correct procedure for notification of absences and requests for leaveUses work time appropriately for work activities; attends meetings promptlyDemonstrates a willingness and flexibility in scheduling and accepting work assignments to meet the needs of the departmentCompletes projects as assigned in that time frameWorks with the Coding Supervisor in developing the scope of the project and action steps for completing the projectCompletes assignments in required timeframe and updates Coding Supervisor of status','!*!Job requires Graduate of an accredited discipline specific program, RHIA/RHIT Certification, and 5 years of experience or the equivalent.Licensure, Certification, and/or Registration (LCR):Records Health Info Admin (RHIA), Records Health Info Tech (RHIT) required Certified Procedural Coder (CPC), Certified Coding Specialist(CCS) preferred','Medical Coding and Billing','TN-Nashville-Vanderbilt Hospital (VUH)','','Medical Information Services 201335','Coding Specialist II

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Vanderbilt University Medical Center
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