Overview
Coding Specialist, Centralized Coding
Full-time, 80 hours per pay period, day shift.
Covenant Health is a community-owned integrated healthcare delivery system and the region’s top-performing healthcare network, with 10 hospitals, outpatient and specialty services, and Covenant Medical Group. The organization is headquartered in Knoxville and serves more than two million patients and families each year.
Position Summary
This role provides leadership, direction, and training for coding staff. The specialist works directly with physicians, the Manager of Corporate Coding Services, the Director of Registration/Admitting, and medical staff education efforts, serving as a liaison between Health Information Management (HIM), Clinical Effectiveness, and Registration.
Key responsibilities include improving health record documentation and coding accuracy, developing and updating departmental coding policies and procedures, performing quality reviews of coding and abstracting, and addressing denial-related issues. The position helps ensure billing practices are complete, accurate, and compliant with state and federal guidelines.
Qualifications
- Five or more years of coding experience
- RHIA, Coding, or RHIT certification required
- Registered Health Information Technologist preferred
- Experience with coding, documentation review, denials, reimbursement, and regulatory compliance
- Ability to educate physicians and coding staff and coordinate corrective actions
Responsibilities
- Oversee coding staff through monitoring, review, and audit activities
- Develop and maintain coding policies and procedures
- Educate and assist physicians on coding and clinical documentation issues
- Work with Registration and Business Office personnel to resolve claims, coding, pre-certification, and denial appeals issues
- Review medical record documentation to ensure diagnostic and procedure codes are supported
- Monitor claim rejections and analyze denial trends related to coding, documentation, and registration
- Educate staff on coding guidelines, documentation requirements, APCs, DRGs, case mix, and medical necessity
- Review records to verify correct code assignment
- Support insurance audits and provide documentation-related feedback
- Keep current on coding guidelines, reimbursement issues, and local, state, and federal regulations
- Coordinate appeals and corrective actions to reduce future denials
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
3 weeks ago