Analyzes medical record documentation to support accurate ICD-10-CM and CPT-4 code assignment, abstraction, and billing support for patient encounters.
This full-time day shift role is part of Covenant Medical Group, serving comprehensive care across East Tennessee. The position supports coding integrity, charge entry, claim accuracy, and timely billing/rebilling activities.
Key responsibilities include:
- Review medical record documentation for compliant ICD-10-CM and CPT-4 coding.
- Abstract pertinent information for charge entry and reporting.
- Support provider selection and assignment of principal procedures and related diagnoses.
- Edit unbilled claim transmission reports and resolve errors.
- Participate in coding quality and audit reviews.
- Assist providers and coders with coding questions and medical necessity clarification.
- Review encounters for accurate documentation and coding.
- Serve as a liaison with insurance companies regarding benefit determinations and claim rejections.
- Support quality improvement initiatives and other duties as assigned.
Requirements & Qualifications
Qualifications
- Minimum education: none specified; equivalent education and/or experience sufficient for the role, typically comparable to a high school diploma or GED.
- Professional coding experience preferred.
- At least 3 years of extensive diagnosis and procedural coding experience required.
- Must hold and maintain CPC certification through AAPC, or be registered as an RHIT through AHIMA.
Skills and Experience
- Strong knowledge of ICD-10-CM and CPT-4 coding standards.
- Experience with medical record review, abstraction, and charge entry.
- Familiarity with billing, reimbursement, claim review, and coding compliance.
- Ability to communicate with physicians, managers, and billing staff regarding documentation and coding questions.
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 week ago