Coding Specialist II

Nashville, Davidson County
May 14, 2014


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.

Key Functions and Expected Performances:
  1. Maintains coding proficiencies
    1. Actively pursues 22 non-qualified continuing education credits designated by the VMG Coding Department.
    2. 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.
    3. Reviews revisions to rules and regulations which govern coding; distributes new to management and coding staff.
    4. Utilizes appropriate coding guidelines and references on a continuing basis
    5. Demonstrates the ability to read and comprehend medical record documentations
  2. Assigns ICD-9-CM and HCPCS/CPT-4 codes accurately
    1. 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.
    2. Demonstrates extensive knowledge of medical terminology, human anatomy and physiology to interpret general medical classifications and adheres to Compliance Rules and Regulations
    3. 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
  3. Proficient in multi-specialty coding and will provide coverage in assigned department as a floater.
    1. Maintains productivity standards set by the management team.
    2. Organizes and prioritizes work appropriately
    3. Demonstrates flexibility by adjusting to unexpected situations/requirements
    4. Consults with manager regarding workload management, as necessary
    5. Uses new methodologies for improving efficiency
    6. Demonstrates extensive knowledge of word processing, spreadsheets, database and Internet skills
  4. Serves as a Resource for Coding Issues
    1. Uses outside and inside resources to the extent necessary; seeks advice/approval when appropriate
    2. Takes initiative in identifying/researching coding/reimbursement issues; notifies/involves appropriate parties, including designated manager
    3. Encourages participation of others to solve problems when appropriate; develops effective solutions; involves management as needed
    4. Serves as an in-house consultant to physicians and house staff on all aspects of coding/reimbursement
    5. Acts as a resource for Coding Apprentice, Coding Analyst & Coding Specialist I requirements
    6. Provides physician education regarding coding and documentation guidelines for federal, state, and private reimbursement agencies
    7. Serves as a resource to other hospital staff members on coding and documentation guidelines
    8. Demonstrates advanced written and verbal communication skills
    9. 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
    10. . Maintains strict patient confidentiality
  5. Participates in projects as assigned
    1. Maintains attendance and punctuality consistently; follows correct procedure for notification of absences and requests for leave
    2. Uses work time appropriately for work activities; attends meetings promptly
    3. Demonstrates a willingness and flexibility in scheduling and accepting work assignments to meet the needs of the department
  6. Completes projects as assigned in that time frame
    1. Works with the Coding Supervisor in developing the scope of the project and action steps for completing the project
    2. Completes assignments in required timeframe and updates Coding Supervisor of status

Basic Qualifications

Job requires Graduate of an accredited discipline specific program and 5 years of experience or the equivalent.

Licensure, Certification, and/or Registration (LCR):

Records Health Info Admin, Records Health Info Tech, Certified Procedural Coder, Certified Coding Specialist

Job Medical Coding and Billing

Primary Location TN-Nashville-Vanderbilt Hospital (VUH)

Organization Medical Information Services 201335PI77407621