JOB SUMMARY: To assess the daily condition and treatment of inpatients, same day surgical patients and emergency room patients and assign the appropriate CPT Evaluation and Management codes, procedural codes, modifiers and the ICD-9-CM diagnosis codes for each patient encounter while maintaining optimal reimbursement within federal, state and private documentation guidelines.
Maintains Coding Proficiencies
Actively 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
Utilizes appropriate coding guidelines and references on a continuing basis
Demonstrates the ability to read and comprehend medical record documentation
Assigns ICD-9-CM and HCPCS/CPT-4 codes accurately - 95% or higher with a quarterly review.
Demonstrates a thorough knowledge of ICD-9-CM and HCPCS/CPT; assigns ICD-9-CM and HCPCS/CPT-4 codes and modifiers at an accuracy rate of 95%.
Demonstrates knowledge of medical terminology, human anatomy and physiology to interpret general medical classifications and adheres to Compliance Rules and Regulations
Reviews 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 documentation
Meets productivity standards
Maintains productivity standards set by the management team
Organizes and prioritizes work appropriately
Demonstrates flexibility by adjusting to unexpected situations/requirements
Consults with manager regarding workload management, as necessary
Uses new methodologies for improving efficiency
Demonstrates knowledge of word processing, spreadsheets, database and Internet skills
Serves as a resource for coding issues
Takes initiative in identifying/researching coding/reimbursement issues; notifies/involves appropriate parties, included designated manager
Uses outside and inside resources to the extent necessary; seeks advice/approval when appropriate
Encourages 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/reimbursement requirements
Provides physician education regarding coding and documentation guidelines for federal, state and private reimbursement requirements
Serves as a resource to other hospital staff members on coding and documentation guidelines
Demonstrates effective written and verbal communication skills
Responds 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
Performs general administrative support functions
Maintains attendance and punctuality consistently; follows correct procedure for notification of absences and requests for leave
Uses work time appropriately for work activities; attends meetings promptly
Demonstrates a willingness and flexibility in scheduling and accepting work assignments to meet the needs of the department
Vanderbilt University Medical Center is a comprehensive health care facility dedicated to patient care, research, and biomedical education. Our reputation for excellence in these areas has made us a major center for patient referrals from throughout the Mid-South. Each year, people throughout Tennessee and the Southeast choose Vanderbilt University Medical Center for their health care because of o...ur leadership in medical science and our dedication to treating patients with dignity and compassion.The mission of Vanderbilt University Medical Center is to advance health and wellness through preeminent programs in patient care, education, and research.