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Salary Not Disclosed
1 Vacancy
Job Description
Discover Vanderbilt University Medical Center: Located in Nashville Tennessee and operating at a global crossroads of teaching discovery and patient care VUMC is a community ofindividuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued your knowledge expanded and your abilities challenged. Vanderbilt Health is committed to an environment where everyone has the chance to thrive and where your uniquenessis sought and celebrated. It is a place where employees know they are part of something that is bigger than themselves take exceptional pride in their work and never settle for what was good enough yesterday. Vanderbilts mission is to advance health and wellness through preeminent programs in patient care education and research.
Organization:
VIP MS Revenue CycleJob Summary:
JOB SUMMARYResponsibilities include ensuring that items (i.e. procedures supplies visits and pharmaceuticals) that are charged through the E.H.R. system are described coded and in compliance with coding guidelines and regulatory standards; ensuring the accuracy and completeness of charges captured for insurance and patient billing of inpatient and outpatient services.
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KEY RESPONSIBILITIES
Performs analysis of medical documentation in the E.H.R. system to verify the accuracy of charges and overall content of the patient record
Ensures that the CPT and ICD codes chosen by provider are supported by the documentation
Verifies that documentation is completed and accurate
Queries provided regarding diagnosis and procedures if documentation discrepancies are identified to expedite chart completion
Performs analysis of charges on patient account as well as ensuring that all the appropriate charge adjustments are applied to the account
Verifies that vaccination administration units accurately represent the service provided
Verifies all performed procedures and E/M services are present on claim
Verifies and resolves discrepancies by utilizing the tools and resources available medical record documentation VIPMS Business Office and/or contacting the appropriate provider
Identifies deficiencies or discrepancies in nursing and/or physician documentation that affects billing and notifies the originator of the incorrect documentation to allow for correction and proactive improvements related to charge capture
Understands the relevance and impact of modifiers on reimbursement
Technology
Uses telephone and computers to facilitate the flow of communication throughout the office
Learns and applies new technical skills and systems as technology changes. Works with management to identify learning needs surrounding computer and technical systems
Follows computer downtime procedures
Office workflow
Regular and reliable attendance is necessary for this position
Must maintain appropriate amount of CEUs to keep certification current and up to date
Overtime may be required to meet end of month and end of year financial deadlines
TECHNICAL CAPABILITIES
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. Highachieving employees stay at Vanderbilt Health for professional growth appreciation of benefits and a sense of community and purpose.
Core Accountabilities:
Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance. Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment. Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area. Team Interaction: Provides informal guidance and support to 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 ones 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 shortterm 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:
Work Experience:
Relevant Work ExperienceExperience Level:
Education:
High School Diploma or GEDVanderbilt Health is committed tofosteringan environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.
Employment Type
Full-Time
