Coding Analyst, Centralized Coding Outpatient

Covenant Health; United States; Remote; USD 52,000 - 75,000; Full time

Job summary

Covenant Health in the United States is seeking a remote Medical Records Coder to analyze medical records to determine ICD-10-CM/PCS and CPT codes and ensure proper DRG assignment, contributing to timely billing. You will communicate with physicians for documentation clarification, abstract data for statistics, and support the Business Office in accurate and timely patient information.

This remote role requires adherence to coding guidelines and quality improvement practices, with no licensure

Qualifications

• Equivalent to an Associate’s degree; Bachelor’s degree preferred.
• No licensure is required for this remote coding role.

Responsibilities

• Reviews ICD-10 CM, ICD-10 PCS and CPT codes per guidelines.
• Verifies data in abstracts and enters clinical information.
• Applies UHDDS standards for diagnoses and procedures.
• Reviews unbilled accounts and adjusts coding timely.
• Reviews case mix reports and follows up on records.
• Participates in coding/abstracting quality reviews.
• Assists physicians with coding questions and clarifications.
• Refers questions to Unit Leader as needed.
• Contacts physicians for clarification when necessary.
• Completes interim billing for rehab and transitional care units.
• Follows safety policies and completes required education.
• Performs other duties as assigned.

Skills

ICD-10-CM coding

ICD-10-PCS coding

CPT coding

Medical records review

Data abstraction

Physician communication

Quality improvement

Education

Associate’s degree

Bachelor’s degree preferred

Job description

Remote

Position Summary:

Analyzes the medical records to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT 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, ICD-10 PCS and CPT 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.
• 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 a Bachelor’s degree in a directly-related field.

Minimum Experience:

None

Licensure Requirement:

None