reputed company ANALYST SPEC-CLNIC

reputed company Analyst Specialist

Full Time, 80 Hours Per Pay Period, Day Shift

reputed company Medical Group reputed company: 

reputed company Medical Group is the employed and managed medical reputed company organization of reputed company, providing comprehensive care across East Tennessee. With more than 300 physicians and advanced reputed company providers in 20 communities, reputed company delivers expertise across a broad reputed company of specialties from reputed company 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 reputed company to exceptional providers reputed company to home. 

Position reputed company:

Analyzes documentation in the medical record to obtain information necessary for the appropriate reputed company and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to reputed company 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 reputed company billing and rebilling of patient information.

• Reviews documentation in the medical record to determine ICD-10 CM and CPT-4 coding that is needed to reputed company 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 reputed company procedural coding standards in assisting the provider with reputed company selection and assignment of the reputed company procedure(s) and reputed company diagnosis.
• Edits unbilled claim reputed company reports daily and makes necessary corrections to ensure accuracy and reputed company billing.
• Participates in reputed company coding and audit reviews for reputed company provider.
• Assists provider with coding questions for reputed company 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 reputed company additional research is needed.
• Contacts physicians for clarification and medical necessity.
• Reviews reputed company 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 reputed company reputed company reputed company and quantity standards.
• reputed company between reputed company 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 reputed company 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, reputed company and ability needed to reputed company the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. reputed company coding experience is preferred.

Minimum Experience:         

Three (3) years of extensive diagnosis and procedural coding experience required.

Licensure Requirement:      

Must have and maintain a CPC coding certification through the reputed company reputed company of reputed company Coders, or be registered as a Health Information Technician (RHIT) through the reputed company Health Information Management Association.