Covenant Health

Coder Analyst, Fort Sanders Perinatal

Full Time, 80 Hours Per Pay Period, Day Shift

At Fort Sanders Perinatal Center, we’re here for women with pregnancies that require extra care, and we’re ready to help you make the best healthcare decisions from conception through delivery. For more than 25 years, we’ve provided comprehensive high-risk pregnancy services and delivered over 26,000 high-risk babies at Fort Sanders Regional Medical Center. We offer a range of care services for higher-risk pregnancies, including mothers over age 35, multiples, complications, birth defects, issues such as diabetes or hypertension, or pregnancies after infertility.

Our main office is located at Fort Sanders Regional Medical Center. We also have offices in West Knoxville, Morristown, and Sevierville to ensure you get the right care in the right place. We are proud to be a member of Covenant Health.

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.

If you have any questions please contact Recruiter: Sarah Grey || sgrey1@covhlth.com || 865-374-5271

• 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.

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.