Coder Analyst

Covenant Health•Knoxville, TN

2d•Onsite

About The Position

Covenant Health is seeking a Coding Analyst to join their Centralized Coding Outpatient team. This is a full-time, day shift position. The Coding Analyst will analyze medical records to assign appropriate ICD-10-CM and CPT codes, confirm DRG assignment, and communicate with physicians for documentation clarification. They will also abstract and enter data for statistics and reporting, and assist the Business Office with timely billing. Covenant Health is a leading healthcare network in East Tennessee, recognized for its commitment to quality and community service.

Requirements

Minimum Education: None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to an Associate’s degree.
Minimum Experience: None
Licensure Requirement: None

Nice To Haves

Preference may be given to individuals possessing a 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.