Lead Inpatient Coding Specialist - REMOTE

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

Discover Vanderbilt Health : With eight hospitals and over 180 clinics, we are the region's largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you'll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated. We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.

Organization:

HIM - Coding

Job Summary:

JOB SUMMARY

Provides leadership in reviewing, accurately assigning, and abstracting diagnostic and procedural codes to inpatient encounters using designated coding classification. Leads on-going development of staff. Expert in DRG Downgrade/Denials/Appeals and payer communication.

KEY RESPONSIBILITIES

• Coordinates coding workflow and handles complex accounts.
• Organizes and prioritizes all coding work to ensure compliance with regulatory requirements and hospital targets.
• Assigns the most appropriate diagnosis and procedures to reflect the utilization of resources during the patient encounter.
• Recognizes documentation clarification opportunities to ensure it supports all codes and designation assignments.
• Serves as a clinical coding subject matter expert.

TECHNICAL CAPABILITIES

• COMPLIANCE (Advanced): Understanding the rules, regulations, sanctions and other statutory requirements, guidelines and instructions relating to governing bodies and organizations, both internally and externally.
• MEDICAL TERMINOLOGY & DOCUMENTATION (Expert): The ability to comprehend medical terminology and documentation in an office, or surgical setting.
• CRITICAL THINKING (Expert): The objective analysis and evaluation of an issue in order to form a judgment.
• MEDICAL CODING (Expert): The transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.
• PEER LEADERSHIP (Intermediate): The ability to show leadership and influence people of equal rank in an effort to accomplish team goals.

Certification: CCS

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: Delivers projects/assignments that have a direct impact on goals/objectives of the unit/department that the job is in. Problem Solving/ Complexity of work: Conducts extensive analysis of situations or data to resolve numerous, complex issues; may involve the input/work of others. Breadth of Knowledge: Has in-depth level of knowledge within a professional area and working knowledge of other areas. Team Interaction: May lead mid-sized projects; coaches and guides team members.

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 communication style to suit different situations and audiences.
• Delivering Excellent Service:
  • 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.
  • Offer Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness.
• Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues t