Lead Inpatient Coding Specialist — DRG & Denials Expert

Vanderbilt University Medical Center; Nashville (TN); Remote; USD 90,000 - 120,000; Full time

Job summary

Vanderbilt University Medical Center seeks a Coding Leader within the HIM - Coding organization to oversee inpatient coding and drive expert accuracy in DRG downgrade/denials and appeals. The role requires leadership of staff, ensuring compliance with regulations, and expediting payer communications for optimal reimbursement.

You will guide ongoing development of team members, elevate documentation quality, and serve as a trusted subject matter expert in medical coding across inpatient

Qualifications

• Expert in medical coding and terminology and documentation.
• Excellent understanding of coding regulations and payer requirements.
• Experience leading coding staff and coordinating complex accounts.

Responsibilities

• Coordinates coding workflow and handles complex accounts.
• Organizes and prioritizes coding work to ensure regulatory compliance and hospital targets.
• Assigns the most accurate diagnosis and procedures reflecting resource use.
• Identifies documentation gaps to support codes and designations.
• Serves as a clinical coding subject matter expert.

Skills

Compliance

Medical Terminology

Critical Thinking

Medical Coding

Peer Leadership

Education

CCS Certification

Job description

Vanderbilt University Medical Center seeks a Coding Leader within the HIM - Coding organization to oversee inpatient coding and drive expert accuracy in DRG downgrade/denials and appeals. The role requires leadership of staff, ensuring compliance with regulations, and expediting payer communications for optimal reimbursement.

You will guide ongoing development of team members, elevate documentation quality, and serve as a trusted subject matter expert in medical coding across inpatient