Coder Analyst-Clinic

Covenant Health • Knoxville, TN

5d

About The Position

The Coder Analyst analyzes medical records to obtain the information needed to sequence and assign ICD-10-CM and CPT-4 codes and confirm appropriate DRG assignment. The role communicates with physicians to clarify documentation, abstracts and enters clinical data into a database for statistics and reporting, and assists the Business Office with timely patient billing. The position is with Fort Sanders Perinatal Center, part of Covenant Health, which provides care for women with high-risk pregnancies.

Requirements

• Previous coding experience is preferred.
• Minimum education is not specified; any combination of formal education and/or prior work experience sufficient to demonstrate the required knowledge, skills, and abilities is acceptable, typically equivalent to an Associate’s degree.

Nice To Haves

• Associate’s degree in a directly related field from an accredited college or university.
• RHIA, RHIT, or CCS credential.

Responsibilities

• Review medical records and determine ICD-10-CM and CPT-4 codes in accordance with coding and reimbursement guidelines.
• Verify medical record abstract data and accurately abstract and enter clinical information to maintain database integrity.
• Apply current UHDDS standards when selecting and assigning the principal diagnosis, principal procedure, complications, and comorbid conditions.
• Review unbilled account reports daily and make necessary adjustments to ensure records are coded in a timely manner.
• Review weekly case mix reports and follow up on records requiring re-review.
• Participate in coding and abstracting quality reviews as required.
• Assist physicians and clarify coding-versus-clinical issues.
• Assist other coders with coding questions and refer questions to the Unit Leader as necessary.
• Contact physicians for clarification when necessary.
• Complete interim billing on rehabilitation and transitional care unit patients as requested by the Business Office.
• Meet or exceed departmental quality and quantity standards.
• Follow policies, procedures, and safety standards.
• Complete required annual education assignments.
• Work toward goals and objectives and participate in quality improvement initiatives as requested.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed