Apply on Employer Site

Covenant Health · 2 months ago

CODER ANALYST SPEC-CLNIC

Oregon, United States

Full-time

Onsite

Mid Level

3+ years exp

Covenant Health is a medical practice organization in East Tennessee with over 300 physicians. The Coder Analyst Specialist is responsible for analyzing medical records for accurate coding, assisting in billing processes, and ensuring compliance with coding standards.

Health CareHealth InsuranceHome Health Care

Responsibilities

Reviews documentation in the medical record to determine ICD-10 CM and CPT-4 coding that is needed to comply with billing and reimbursement guidelines set forth by government entities

Verifies data in the medical record and accurately abstracts pertinent information for charge entry

Appropriately utilizes CPT-4 and ICD-10 current procedural coding standards in assisting the provider with proper selection and assignment of the principal procedure(s) and related diagnosis

Edits unbilled claim transmission reports daily and makes necessary corrections to ensure accuracy and timely billing

Participates in quality coding and audit reviews for each provider

Assists provider with coding questions for all services rendered

Assists other coders with coding questions to determine the most appropriate codes used for billing compliance and refers coding questions to the Operations Manager when additional research is needed

Contacts physicians for clarification and medical necessity

Reviews all encounters for accurate documentation and coding of services rendered

Communicates pending items and questions with office manager, CDI supervisor, and manager

Demonstrates ability to meet or exceed practice quality and quantity standards

Liaison between practice specialty and insurance company for benefit determination and claim rejections

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

Qualification

ICD-10-CM codingCPT-4 codingCPC certificationHealth Information TechnicianData abstractionQuality improvementCommunication skills

Required

Three (3) years of extensive diagnosis and procedural coding experience required

Must have and maintain a CPC coding certification through the American Academy of Professional Coders, or be registered as a Health Information Technician (RHIT) through the American Health Information Management Association