Senior Coding Specialist, Outpatient Facility Coding Edits
Found in: Lensa US P 2 C2 - 2 weeks ago
Organization:
Coding-Outpatient facility Coding edits
Job Summary:
JOB SUMMARY
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.
KEY RESPONSIBILITIES
- 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.
- The responsibilities listed are a general overview of the position and additional duties may be assigned.
- MEDICAL PROFESSIONAL AND OUTPATIENT FACILITY CODING (ADVANCED): The transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.
- MEDICAL TERMINOLOGY AND DOCUMENTATION (ADVANCED): The ability to comprehend medical terminology and documentation in an office, or surgical setting.
- CRITICAL THINKING (ADVANCED): The objective analysis and evaluation of an issue in order to form a judgment.
- COMPLIANCE (ADVANCED): Understanding the rules, regulations, sanctions, and other statutory requirements, guidelines, and instructions relating to governing bodies and organizations, both internally and externally.
Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.
At our growing health system, we support each other and encourage excellence among all who are part of our workforce. High-achieving employees stay at Vanderbilt Health for professional growth, appreciation of benefits, and a sense of community and purpose.
Core Accountabilities:
Organizational Impact: Independently delivers on objectives with understanding of how they impact the results of own area/team and other related teams. Problem Solving/ Complexity of work: Utilizes multiple sources of data to analyze and resolve complex problems; may take a new perspective on existing solution. Breadth of Knowledge: Has advanced knowledge within a professional area and basic knowledge across related areas. Team Interaction: Acts as a "go-to" resource for colleagues with less experience; may lead small project teams.
Core Capabilities :
Supporting Colleagues: - Develops Self and Others: Invests time, energy, and enthusiasm in developing self/others to help improve performance e 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: - 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: - 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: - 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: - 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.
Position Qualifications:
Responsibilities:
Certifications:
Certified Coding Specialist - American Health Information Management Association
Work Experience:
Relevant Work Experience
Experience Level:
4 years
Education:
High School Diploma or GED
Vanderbilt Health recognizes that diversity is essential for excellence and innovation. We are committed to an inclusive environment where everyone has the chance to thrive and to the principles of equal opportunity and affirmative action. EOE/AA/Women/Minority/Vets/Disabled
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