CODER ANALYST-CLINIC
Covenant Health•Knoxville, TN
About The Position
The Coder Analyst analyzes medical records to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes, confirms appropriate DRG assignment, and communicates with physicians to clarify documentation. The role abstracts and enters data from medical records to maintain 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
- Education and/or prior work experience sufficient to demonstrate the knowledge, skill, and ability needed to perform the essential tasks, typically equivalent to an Associate’s degree.
- Previous coding experience preferred.
- RHIA, RHIT, or CCS preferred.
Nice To Haves
- An Associate’s degree in a directly related field from an accredited college or university.
- Previous coding experience.
- RHIA, RHIT, or CCS credential.
Responsibilities
- Review medical records to 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 ensure 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 adjustments to ensure records are coded in a timely manner.
- Review case mix reports weekly 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 for 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.
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
