Covenant Health

Coding Specialist, Outpatient Facility Coder Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times. Position Summary: This individual provides leadership, direction, and training for the coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and...

Overview Coder Analyst Specialist Full Time, Day Shift Covenant Medical Group Overview: Covenant Medical Groupis 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 deliversexpertiseacross a broad spectrum of specialtiesfrom primary careand walk-in clinics topreventive medicineandadvanced surgical andsubspecialty 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. 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...

Covenant Health - - Responsibilities: Provides clerical and administrative support for the billing team; Responsible for daily submission of primary, secondary, and tertiary claim billing via the clearinghouse, payor portals, and paper mailing; Reviews deficient claims (i.e. claim rejections) that are unable to be processed by the payor, makes corrections, and processes rebills as appropriate; Demonstrates problem-solving and critical thinking skills in analyzing rejections and/or denials to determine root-cause and best course of action to resolve account issues; Demonstrates knowledge and comprehension of State and Federal regulations, Medicare, TennCare, and other Third-Party Payor requirements

Covenant Health - - Responsibilities: Review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims; Responsible for daily submission of primary, secondary, and tertiary claim billing via the clearinghouse, payor portals, and paper mailing; Analyze rejections/denials to determine root-cause and best course of action to resolve account issues; Provide guidance to other departmental roles regarding plan eligibility, claims processing details, and patient balance explanations; Prepare and submit payor reconsiderations and appeals

Covenant Health - - Responsibilities: Coordinate daily workflow for accurate submission of insurance claims to payers to ensure timely reimbursement; Analyze claim edits within billing system and payer sites to facilitate timely processing; Assist Billing Supervisor and resolve complex medical claim issues; Ensure accuracy of UB and 1500 medical claim information and compliance with regulations; Provide supporting medical records documentation for rejected, denied, and suspended or pended medical claims

Covenant Health's Fort Sanders Perinatal Center in Knoxville seeks a Coder Analyst to analyze medical records and assign ICD-10-CM and CPT-4 codes, ensure accurate DRG assignments, and support timely billing. The role requires interaction with physicians for documentation clarification and data abstraction for statistics and reporting. The position emphasizes adherence to UHDDS standards, quality reviews, and collaboration with the Business Office to maintain accurate and complete coding for #J-18808-Ljbffr

Covenant Health seeks a Coder Analyst Specialist to join Covenant Medical Group in East Tennessee. This full-time daytime role codes medical services, abstracts data, and supports timely billing in collaboration with providers and the Billing Department. Responsibilities include ensuring compliance with ICD-10-CM and CPT-4 standards, reviewing encounters for accurate documentation, and assisting other coders. CPC or RHIT credentials are required or preferred. #J-18808-Ljbffr