Coder Analyst

Covenant Health•Knoxville, TN

1d•Onsite

About The Position

Covenant Health is seeking a Coding Analyst to join their Centralized Coding Inpatient team. This is a full-time, 80 hours per pay period, day shift position. Covenant Health is a prominent healthcare network in East Tennessee, recognized for its commitment to quality care and as a leading employer. The Coding Analyst will be responsible for analyzing medical records to assign appropriate ICD-10-CM and CPT codes, confirming DRG assignments, and communicating with physicians for documentation clarification. The role also involves abstracting and entering data for statistical purposes and assisting the Business Office with timely billing.

Requirements

Ability to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT codes.
Ability to confirm appropriate DRG assignment.
Ability to communicate with physicians for clarification of documentation for coding.
Ability to abstract and enter data from medical records.
Ability to assist the Business Office in timely billing of patient information.
Knowledge of current UHDDS standards.
Familiarity with unbilled accounts reports and case mix reports.
Ability to participate in coding and abstracting quality reviews.
Ability to follow policies, procedures, and safety standards.
Ability to complete required education assignments annually.
Ability to work toward achieving goals and objectives.
Ability to participate in quality improvement initiatives.

Nice To Haves

Bachelor’s degree in a directly-related field from an accredited college or university.

Responsibilities

Reviews medical records to determine the ICD-10 CM, ICD-10 PCS and CPT codes to be utilized, in accordance with coding and reimbursement guidelines.
Verifies data in the medical record abstract and accurately abstracts and enters clinical information from the medical records, to ensure the integrity of the database.
Appropriately utilizes current UHDDS standards in the proper selection and assignment of the principal diagnosis, principal procedure, complications and cormorbid conditions.
Reviews unbilled accounts reports daily and makes necessary adjustments to ensure all records are coded in a timely manner.
Reviews case mix reports on a weekly basis and follow-up on any record requiring re-review.
Participates in coding and abstracting quality reviews as required.
Assists physicians and clarifies coding versus clinical issues.
Assists other coders with coding questions to ascertain the most appropriate codes for billing and statistical information; refers coding questions to the Unit Leader, as necessary.
Contacts physicians for clarification when necessary.
Completes interim billing on rehabilitation and transitional care unit patients as requested by the Business Office.
Follows policies, procedures, and safety standards.
Completes required education assignments annually.
Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
Performs other duties as assigned.