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Covenant Health · 3 weeks ago

CODER ANALYST

Knoxville, TN

Full-time

Onsite

New Grad, Entry Level

Covenant Health is the region’s top-performing healthcare network with 10 hospitals and a large physician practice division. The Coding Analyst will analyze medical records for coding purposes, communicate with physicians to clarify documentation, and assist in timely billing processes.

Health CareHealth InsuranceHome Health Care

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

Qualification

ICD-10-CM codingCPT codingData abstractionMedical record analysisCommunication skills

Required

Analyzes the medical records to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT codes

Confirms appropriate DRG assignment

Communicates with physicians for clarification of documentation for coding

Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting

Assists the Business Office in timely billing of patient information