Analyzes medical record documentation to determine appropriate ICD-10-CM and CPT-4 coding, ensuring accurate sequencing, abstraction, and reporting of patient information.
This full-time, day-shift role supports Covenant Medical Group by coding procedures, maintaining statistical databases, assisting with billing and rebilling, and helping ensure compliance with billing and reimbursement guidelines.
Key responsibilities include:
- Review medical record documentation to determine accurate ICD-10-CM and CPT-4 coding.
- Abstract pertinent information for charge entry and reporting.
- Assist providers with proper code selection and assignment of principal procedures and related diagnoses.
- Edit unbilled claim transmission reports and make corrections to support timely billing.
- Participate in coding quality and audit reviews.
- Contact physicians for clarification and medical necessity questions.
- Review encounters for accurate documentation and coding.
- Serve as a liaison between the practice and insurance companies regarding benefit determination and claim rejections.
Requirements & Qualifications
Minimum qualifications:
- High school diploma or GED, or equivalent combination of education and experience.
- Professional coding experience preferred.
- At least 3 years of extensive diagnosis and procedural coding experience.
- Must hold and maintain a CPC certification through AAPC, or be registered as an RHIT through AHIMA.
Additional expectations:
- Ability to meet or exceed quality and productivity standards.
- Strong knowledge of ICD-10-CM and CPT-4 coding standards.
- Ability to communicate effectively with providers, office managers, CDI staff, and insurance representatives.
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
3 weeks ago