Outpatient Coding Lead, Centralized Services

Covenant Health; Knoxville (TN); On-site; USD 70,000 - 95,000; Full time

Job summary

Covenant Health seeks a Coding Specialist for Centralized Coding, Outpatient, in Knoxville, TN. This full-time role leads coding staff, collaborates with physicians and management, and ensures accurate documentation and compliant billing.

The position requires five or more years of coding experience and RHIA/RHIT certification. Typical duties include policy development, staff education, and denial management within a day-shift, 80-hour pay-period schedule.

Qualifications

• Five or more (5+) years coding experience.
• RHIA, RHIT, or RHIA certification required. Registered Health Information Technologist preferred.

Responsibilities

• Oversees coding staff performance and accountability.
• Develops and maintains coding policies and procedures; implements new policies.
• Educates physicians and clarifies coding versus clinical issues.
• Resolves issues related to claims, coding, pre-certifications, and denials appeals with Registration and Business Office.
• Reviews medical record documentation to ensure correct codes billed.
• Educates coding staff and physicians on regulatory changes and deficiencies.
• Monitors denials and coordinates appeals related to coding and documentation.
• Attends meetings and provides input on coding, documentation, and reimbursement requirements.
• Promotes compliance awareness related to coding and documentation.
• Coordinates staff education in coding, documentation, case mix, and denials.
• Keeps current on LCDs/NCDs and regulations to ensure compliance.
• Performs other duties as assigned.

Education

RHIA/RHIT certification

Job description

Covenant Health seeks a Coding Specialist for Centralized Coding, Outpatient, in Knoxville, TN. This full-time role leads coding staff, collaborates with physicians and management, and ensures accurate documentation and compliant billing.

The position requires five or more years of coding experience and RHIA/RHIT certification. Typical duties include policy development, staff education, and denial management within a day-shift, 80-hour pay-period schedule.