CODER ANALYST
On-siteKnoxville, Tennessee, United States
Job Summary
Review medical records to determine ICD-10 CM, ICD-10 PCS, and CPT codes in accordance with coding and reimbursement guidelines. Verify data in the medical record abstract and accurately enter clinical information to ensure database integrity. Appropriately utilize current UHDDS standards for principal diagnosis, procedure, complications, and comorbid conditions. Review unbilled accounts daily and adjust records to ensure timely coding. Participate in quality reviews, assist physicians with documentation clarification, and support other coders on billing and statistical queries. Complete interim billing for rehabilitation and transitional care unit patients as requested. Full-time, 80-hour pay period, day shift.
Required Qualifications
- knowledge of ICD-10-CM and CPT codes
- knowledge of DRG assignment
- knowledge of UHDDS standards
- ability to review medical records
- ability to abstract and enter clinical information
- ability to review unbilled accounts reports
- ability to review case mix reports
- ability to participate in coding and abstracting quality reviews
- ability to clarify coding versus clinical issues
- ability to refer coding questions to the Unit Leader
- ability to contact physicians for clarification
- ability to complete interim billing
- ability to follow policies, procedures, and safety standards
- ability to complete required education assignments annually
- ability to work toward achieving goals and objectives
- ability to participate in quality improvement initiatives
Desired Qualifications
- Bachelor's degree in a directly-related field from an accredited college or university
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