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CODING AUDITOR-EDU-CLINIC
Company : Covenant Health
Location : Knoxville, TN, 37923
Job Type : Full Time
Date Posted : 2 January 2026
Overview
Coding Educator, Clinical Document Integrity
Full Time, 80 Hours Per Pay Period, Day Shift
Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology.
Position Summary:
Provides consulting services to the organization’s management and staff and may coordinate requested coding investigations. Responsible for education and training for all Covenant coders, CDI, and/or physician office staff. Serves as a resource to coders, CDI staff, Quality and Case Managers, Decision Support and physician office personnel regarding coding questions.
Responsible for educating coders, CDI staff, and assisting with physician coding and documentation education.
Maintains all organizational and professional ethical standards and works with Covenant leaders to coach, mentor, and train Coding/CDI and physician office staff. Works independently with limited supervision with significant latitude for initiative and independent judgment. Reports to the Corporate Coding Manager or CFO of CMG as appropriate.
Recruiter: Brittany Smithson || apply@covhlth.com
Responsibilities
- Identifies and evaluates company risk areas and provides coding education developing criteria, and reviewing and analyzing findings. If applicable, provides corporate oversight of any current departmental coding audit programs.
- Works with coders/CDI staff and or physician office staff to educate and provide feedback with Coding/CMG management to proactively train staff and respond to issues.
- Reviews and studies all information published by CMS and the OIG via the Federal Register, fraud alerts, OIG advisory opinions, and other publications relative to coding, billing and reimbursement compliance in order to ensure compliance.
- Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance.
- Performs research and analysis of CPT coding, modifiers and billing processes to ensure compliance with Medicare, Medicaid guidelines and other insurance payers and to maximize reimbursement.
- Routinely attends coding and documentation conferences and educational sessions to stay on top of coding and documentation changes and updates. Works with CDI Manager on annual coding updates.
- Serves as a resource to hospital departments and physician practices to assist with coding and documentation questions.
- Works in conjunction with health information management, Revenue Integrity, patient accounting, information systems and other personnel to assist with implementation of solutions to maintain a proper compliance stance.
- Under the direction of Corporate Coding Manager and or CFO of CMG, works with the Chief Compliance Officer relative to coding, billing and reimbursement compliance issues.
- Performs continuous reviews to identify coding process improvement activities and coding education opportunities for coding, CDI and/or physician office staff.
- Responsible for detailed ICD-10 training of coding/CDI staff and/or physician practices.
- Responsible for assessing the preparedness of the coding/CDI staff for ICD 10 coding.
- Responsible for concurrent review process for ICD-10 coding utilization.
- Responsible for specific physician training develop by physician specialty key indicators required for ICD-10 documentation for coding.
- Maintains professional growth and development through continuing education, seminars, and applicable professional affiliations to keep informed of industry trends.
- Recognizes situations which necessitate supervision and guidance, seeking and obtaining appropriate resources.
- Performs other duties as assigned or requested.
Qualifications
Minimum Education:
None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.
Minimum Experience:
Three (3) to five (5) years experience in acute care coding, both inpatient and out-patient and/or physician practice. Good working knowledge of healthcare billing, Medicare/Medicaid billing guidelines, and other Third Party Payor rules and Regulations. Experience in problem solving and analytical reviews. Must be knowledgeable in use of PC's, Windows, Excel and Word Processing. Must have good public relations and educational skills.
Licensure Requirements:
Certification in field of study. The following certifications are acceptable-RHIT/RHIA/AAPC, CPC, or CPMA.
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Frequently asked questions
For Coding Auditor positions in Knoxville, certifications like RHIT, RHIA, CPC, or CPMA significantly improve credibility. These credentials demonstrate proficiency in medical coding, compliance, and auditing standards, aligning well with Covenant Health’s expectations for clinical documentation and coding expertise.
Daily tasks often include educating coders and physicians on ICD-10 documentation, reviewing coding compliance, and analyzing audit findings. The role demands proactive communication with clinical teams to ensure accurate coding practices, along with continuous learning to keep up with CMS and OIG updates.
Yes, healthcare compliance roles like Coding Auditor-Edu-Clinic are expanding in Tennessee due to increasing regulatory scrutiny and the rising complexity of billing. Facilities like Covenant Health prioritize robust audit programs, making these positions more vital and in-demand locally.
Covenant Health invests in continuous education by facilitating attendance at coding conferences and offering internal training updates. This ensures Coding Auditor-Edu-Clinic team members remain knowledgeable about CMS changes, fraud alerts, and billing compliance to maintain high audit standards.
Coding Auditor roles in Knoxville typically offer salaries between $65,000 and $80,000 annually, reflecting local market rates and the specialized nature of clinical coding education and auditing. Experience and certifications influence compensation within this competitive range.
Covenant Health values applicants with comprehensive experience spanning both inpatient and outpatient coding. This breadth enables the auditor to effectively train staff across settings, ensuring compliance with Medicare and Medicaid billing guidelines and improving overall documentation integrity.
Knoxville's healthcare regulations emphasize strict adherence to billing compliance and documentation accuracy, affecting audit priorities. Coding Auditors must navigate regional payer rules and collaborate with hospital teams to mitigate risks and uphold Covenant Health's quality standards.
The demand for skilled Coding Auditors in Knoxville is moderate but growing, with Covenant Health being a preferred employer due to its comprehensive health system. Candidates with strong certifications and clinical coding experience face healthy competition but benefit from local industry growth.
Covenant Health’s extensive multi-specialty network means auditors handle diverse clinical documentation needs, requiring adaptability and in-depth knowledge across specialties. Balancing educational outreach with audit responsibilities in such a complex environment presents a distinctive challenge.
Prospective candidates should build a solid foundation in acute care coding, pursue relevant certifications, and demonstrate analytical skills. Networking within the Knoxville healthcare community and understanding Covenant Health’s compliance culture can facilitate a successful transition into this role.