Job Description

Overview

Coder Analyst

Full TIme, 80 Hours Per Pay Period, Day Shift

Perinatal Overview:

Fort Sanders Perinatal Center, part of Covenant Health, specializes in caring for women with high-risk pregnancies. For more than 25 years, the center has provided expert guidance and advanced services for complex conditions such as multiples, maternal age, diabetes, hypertension, and infertility-related pregnancies. With locations in Knoxville, Morristown, and Sevierville, the team is dedicated to helping families make informed decisions and ensuring the safest possible outcomes for mothers and babies.

Position Summary:

Analyzes the medical records to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 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.

Responsibilities

• Reviews medical records to determine the ICD-10 CM and CPT-4 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.
• Demonstrates ability to meet or exceed departmental quality and quantity standards.
• 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.

Qualifications

Minimum Education

None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to an Associate’s degree. Preference may be given to individuals possessing an Associate’s degree in a directly-related field from an accredited college or university.

Minimum Experience

Previous coding experience preferred.

Licensure Requirement

RHIA, RHIT or CCS preferred.