JOB SUMMARY: 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.
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; distributes new to management and coding staff.
Utilizes appropriate coding guidelines and references on a continuing basis
Demonstrates the ability to read and comprehend medical record documentations
Assigns ICD-9-CM and HCPCS/CPT-4 codes accurately
Demonstrates 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 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
Proficient 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 appropriately
Demonstrates flexibility by adjusting to unexpected situations/requirements
Consults with manager regarding workload management, as necessary
Uses new methodologies for improving efficiency
Demonstrates extensive knowledge of word processing, spreadsheets, database and Internet skills
Serves as a Resource for Coding Issues
Uses 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 manager
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
Acts as a resource for Coding Apprentice, Coding Analyst & Coding Specialist I requirements
Provides physician education regarding coding and documentation guidelines for federal, state, and private reimbursement agencies
Serves as a resource to other hospital staff members on coding and documentation guidelines
Demonstrates advanced 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
Participates in projects as assigned
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
Completes projects as assigned in that time frame
Works with the Coding Supervisor in developing the scope of the project and action steps for completing the project
Completes assignments in required timeframe and updates Coding Supervisor of status
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 our 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.