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Full-time
high school, professional certificate
Health insurance, Disability insurance, Retirement plan, Wellness offerings
Posted 3d ago
~40 hrs/week
Remote in Nashville, Tennessee, United States, Tennessee, United States
Responsibilities
The Lead Inpatient Coding Specialist coordinates coding workflows, manages complex accounts, and ensures compliance with regulatory requirements. They also serve as a subject matter expert, providing leadership and coaching to staff while handling DRG denials and appeals.
Requirements
Candidates must have at least 5 years of relevant work experience and a high school diploma or GED. A professional certification such as CCS, RHIA, or RHIT is required.
Full 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 own 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. - 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 Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician - American Health Information Management Association (AHIMA), Certified Outpatient Coder - American Academy of Professional Coders, Certified Professional Coder - Outpatient - American Academy of Professional Coders, Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
Work Experience:
Relevant Work Experience
Experience Level:
5 years
Education:
High School Diploma or GED (Required)
This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.
Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
Related keywords
Inpatient codingDRGCCSRHIARHITAHIMAMedical recordsHealthcare administrationComplianceDenials managementAppealsClinical documentationWorkflow managementLeadershipRemote workHealth information management
From specializing in transplants and pediatric cancer to solving undiagnosed diseases, we know solving the most complex problems prepares us to solve any problem. We are committed to excellence in patient care, research, and medical education and training. We thrive on challenges, embrace collaboration and champion innovation. We are a growing academic health system with seven hospitals and hundreds of clinics throughout the Mid-South, as well as one of the nation's top biomedical research programs.
Join us: https://www.vumc.org/careers/
We are regularly ranked among the nation's leading hospitals in terms of quality and effectiveness. Our tireless pursuit of personalized care has earned scores of patient satisfaction awards. Our research is expanding the frontiers of medical knowledge, and every day we advance toward a better understanding of human health. We blend new discoveries and technology into health education, preparing distinguished medical professionals to offer the most advanced and compassionate care possible.
We set the pace for health care in the Southeast, and we are a nationally respected referral center. We are building on nearly 150 years of accomplishments to shape the future of health care the world over.
For information about our clinical services for adults throughout the Vanderbilt Health system, visit http://www.VanderbiltHealth.com.
For information about our comprehensive Monroe Carell Jr. Children's Hospital at Vanderbilt, visit https://childrenshospitalvanderbilt.org/
Social Media Participation Guidelines: http://VUMC.org/main/social
Offices: 2525 West End Ave., Ste. 500, Nashville, Tennessee 37203, US · 1211 Medical Center Dr, Nashville, TN 37212, US
PrimarySpecialty and Subspecialty CareClinical and Translational ResearchGraduate Medical EducationPrecision MedicineBiomedical InformaticsSurgeryOrthopedicsNeurology and NeurosurgeryCardiology and Cardiac Surgery
How many Healthcare jobs are open in Nashville, TN right now?
There are currently 2,992 open healthcare positions in Nashville, TN listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Nashville, TN?
Companies currently hiring include Vanderbilt University Medical Center, Ascension, Tennessee Oncology, Nashville General Hospital, National HealthCare Corporation (NHC), among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Nashville, TN?
Yes — 536 of the 2992 open healthcare positions offer remote or hybrid work (264 remote, 272 hybrid).
How do I apply for Healthcare jobs in Nashville, TN?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.