Certified Medical Coder

Overview

University Health Network is seeking a full-time Certified Medical Coder to focus on risk adjustment for the clinically integrated network associated with The University of Tennessee Medical Center and University Physicians’ Association. This is a remote position with normal business hours Monday–Friday and occasional on-site meetings. Candidate must be located in the Knoxville, TN region and be able to maintain HIPAA privacy requirements when working from home.

The role involves performing detailed clinical documentation and risk adjustment reviews and accurately coding procedures and diagnoses using ICD-10-CM, CPT, HCPCS, and modifiers for professional services.

• Performs coding services while meeting daily production and quality goals
• Conducts thorough reviews of clinical documentation to ensure accuracy and compliance with coding standards
• Assigns appropriate ICD-10-CM, CPT, HCPCS, and modifiers for professional services
• Collaborates with healthcare providers to clarify diagnoses and procedures to ensure accurate coding
• Uses CMS and HHS risk adjustment mapping tools to identify HCC coding and documentation opportunities
• Participates in ongoing education and training to stay current with coding updates and guidelines
• Actively participates in designated team meetings
• Maintains coding productivity and accuracy standards; if unable to meet standards, may work onsite at the UHN office until met

• Partners with providers, practice staff, and UHN Coding team to improve quality and efficiencies in coding and documentation
• Educates and coaches on compliant coding and documentation practices and accurate risk adjustment guidelines
• Facilitates and supports a culture of compliance, ethics, and integrity
• Interacts effectively and builds respectful working relationships across the organization

• Maintains HIPAA privacy and security; respects patient privacy 100% of the time
• Understands and abides by HIPAA laws, regulations, and UPA HIPAA policy
• Obtains consent to release protected health information
• Reports all HIPAA issues to the Supervisor

• Current CPC or RHIT certification required
• CRC required within 6 months of hire
• Preferred: at least two years of professional medical coding experience in an ambulatory care setting; E/M coding experience a plus
• Preferred experience and knowledge of HCC coding and chronic illness diagnosis, treatment, and management
• Team player with effective written and verbal communication, relationship-building, and interpersonal skills
• Initiative-taking, highly organized, and strong time management
• Good problem solving and critical thinking skills
• Proficient in Microsoft Outlook (Outlook, Word, Excel, PowerPoint)
• Demonstrates integrity with high personal and professional conduct

Full benefit package available, including PTO, Medical, Dental, Vision, STD/LTD, Life Insurance, 401k + Company Match, and more.