Coder Analyst

Knoxville Technology Council; Knoxville (TN); On-site; USD 52,000 - 70,000; Full time

Job summary

Covenant Medical Group is seeking a dedicated CodER Analyst CMG to review medical records and ensure accurate ICD-10-CM and CPT-4 coding for billing. The role involves data abstraction, coding verification, and collaboration with providers to support compliant reimbursement.

Ideal candidates have 1+ year of coding experience and a high school diploma or GED. The position emphasizes accuracy, quality auditing, and interdepartmental communication to optimize billing workflows.

Qualifications

• High school diploma or GED accepted; professional coding experience is preferred.
• Experience assigning ICD-10-CM and CPT codes for professional services is required or preferred.
• Strong attention to detail and accuracy in coding and documentation are essential.

Responsibilities

• Review medical records to determine ICD-10-CM and CPT-4 coding required for billing and reimbursement.
• Verify data in medical records and accurately abstract information for charge entry.
• Apply CPT-4 and ICD-10 coding standards for principal procedures and related diagnoses.
• Edit unbilled claim transmission reports to ensure accuracy and timely billing.
• Participate in quality coding and audit reviews for providers.
• Assist physicians and other coders with coding questions and research as needed.
• Communicate with office manager and CDI supervisor on pending items and questions.
• Ensure compliance with policies, procedures, and safety standards; participate in education assignments.

Skills

ICD-10-CM coding

CPT-4 coding

Medical coding

Data abstraction

Billing support

Education

High school diploma or GED

Job description

Covenant Medical Group Overview

Covenant Medical Group is the employed and managed medical practice organization of Covenant Health, providing comprehensive care across East Tennessee. With more than 300 physicians and advanced practice providers in 20 communities, our team delivers expertise across a broad spectrum of specialties from primary care and walk-in clinics to preventive medicine and advanced surgical and subspecialty services. We are committed to offering coordinated, patient-centered care that spans the continuum of health needs, ensuring access to exceptional providers close to home.

Job Title

CODER ANALYST CMG

Job ID

4661073

Facility

Covenant Medical Group

Department

Clinical Doc Integty

Position Summary

Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives. Abstracts and enters data from the medical records in order to maintain a database for statistics and reporting. Assists the Billing Department in timely billing and rebilling of patient information.

Responsibilities

• Reviews documentation in the medical record to determine ICD-10 CM and CPT-4 coding that is needed to comply with billing and reimbursement guidelines set forth by government entities.
• Verifies data in the medical record and accurately abstracts pertinent information for charge entry.
• Appropriately utilizes CPT-4 and ICD-10 current procedural coding standards in assisting the provider with proper selection and assignment of the principal procedure(s) and related diagnosis.
• Edits unbilled claim transmission reports daily and makes necessary corrections to ensure accuracy and timely billing.
• Participates in quality coding and audit reviews for each provider.
• Assists provider with coding questions for all services rendered.
• Assists other coders with coding questions to determine the most appropriate codes used for billing compliance and refers coding questions to the Operations Manager when additional research is needed.
• Contacts physicians for clarification and medical necessity.
• Reviews all encounters for accurate documentation and coding of services rendered.
• Communicates pending items and questions with office manager, CDI supervisor, and manager.
• Demonstrates ability to meet or exceed practice quality and quantity standards.
• Liaison between practice specialty and insurance company for benefit determination and claim rejections.
• 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 a high school diploma or GED. Professional coding experience is preferred.

Minimum Experience

One (1) year of experience assigning ICD10 and CPT codes for Physician professional services or previous completion of a recognized billing and coding course.

Licensure Requirement

None