Overview
Full-time, 80 hours per pay period, day shift role with Covenant Medical Group, the employed and managed medical practice organization of Covenant Health.
Covenant Medical Group provides comprehensive care across East Tennessee. With more than 300 physicians and advanced practice providers in 20 communities, the organization delivers care across primary care, walk-in clinics, preventive medicine, advanced surgical services, and subspecialties.
Position Summary
This position analyzes documentation in the medical record to ensure proper sequencing and assignment of ICD-10-CM and CPT-4 codes. It abstracts and codes procedures in coordination with providers, enters medical record data for statistics and reporting, and supports the Billing Department with timely billing and rebilling of patient information.
Responsibilities and qualifications
- Review medical record documentation to determine ICD-10-CM and CPT-4 coding needed for billing and reimbursement compliance.
- Verify medical record data and abstract pertinent information for charge entry.
- Use current CPT-4 and ICD-10 coding standards to assist with proper selection and assignment of principal procedures and related diagnoses.
- Edit unbilled claim transmission reports daily and make corrections to ensure accuracy and timely billing.
- Participate in quality coding and audit reviews for each provider.
- Assist providers and other coders with coding questions related to billing compliance.
- Contact physicians for clarification and medical necessity.
- Review encounters for accurate documentation and coding of services rendered.
- Communicate pending items and questions with office manager, CDI supervisor, and manager.
- Meet or exceed practice quality and quantity standards.
- Serve as liaison between the practice specialty and insurance companies for benefit determination and claim rejections.
- Follow policies, procedures, safety standards, and complete required annual education assignments.
Minimum qualifications
- High school diploma or GED, or equivalent combination of education and/or work experience sufficient to perform the job.
- Three years of extensive diagnosis and procedural coding experience required.
- CPC certification through AAPC, or RHIT registration through AHIMA, required and must be maintained.
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 week ago