Coding Specialist

The Johns Hopkins University; Middle River (MD); Remote; USD 55,000; Full time

Job summary

An established industry player is on the lookout for a meticulous Coding Specialist to join their dynamic team. This role is pivotal in ensuring accurate diagnosis and CPT coding across various billing departments, utilizing advanced billing applications and adhering to strict compliance standards. You will gather essential information for clean claims, verify coding accuracy, and engage in continuous professional development. If you have a passion for healthcare billing and coding, and want to contribute to a team that values excellence and integrity, this opportunity is perfect for you. Join a supportive environment that prioritizes your growth and success.

Benefits

Health Insurance

Retirement Plan

Paid Time Off

Professional Development Opportunities

Qualifications

• 1 year experience in medical billing and coding required.
• CPC Certification or equivalent is essential for this role.

Responsibilities

• Review and code charges for diagnosis and CPT for billing.
• Maintain billing accuracy and follow payer guidelines.

Skills

Medical Billing

CPT Coding

ICD-10 Coding

Analytical Skills

HIPAA Compliance

Customer Relations

Education

High School Diploma/GED

CPC Certification

Medical Terminology

Tools

EPIC

JHU/PBS Billing Applications

Job description

We are seeking a Coding Specialist responsible for diagnosis and CPT coding within the various department billing offices. Will review or code charges for diagnosis and CPT for entry into the JHM and JHU/ PBS billing applications. This can be accomplished through an interface or manual charge entry for services performed at JHM practice sites.

Specific Duties & Responsibilities

• Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract.
• Bundle appropriately based on CPT code rule and payer billing guidelines.
• Verify E/M code type such as New vs. Establish patients and level of service.
• Responsible for maintaining a system of billing accuracy through encounter verification i.e., clinic schedules, encounter information in EPIC, I/P consults and medical records.
• Follows payer guidelines.
• Follows limiting coverage guidelines for diagnosis coding by using LCD/NCD/payer policy information and assigns appropriate modifiers based on departmental policy.
• Carries diagnosis code out to the highest level of specificity that is appropriate.
• Follows ICD-10 codes to ensure diagnosis codes are appropriate for each specialty.
• Review and resolve EPIC Charge Review edits daily.
• May obtain correct NPI number and all needed information from Referring Doc Dictionary. May act as a back up to Charge Entry when needed.
• Will research and respond to coding questions from physicians, patients (via SBO Account WQ) and co-workers as necessary.
• Exercises independent judgment in daily activities.

Technical Knowledge

• Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
• Working knowledge of JHU/ PBS Billing Applications.
• Utilize online resources to facilitate efficient claims processing.

Professional & Personal Development

• Participate in ongoing educational activities.
• Assist in the training of staff.
• Keep current of industry changes by reading assigned material on work-related topics.
• Complete three days of training annually.

Service Excellence

• Must adhere to Service Excellence Standards.
• Customer Relations
• Self-Management
• Teamwork
• Communications
• Ownership/Accountability
• Continuous Performance Improvement.

Minimum Qualifications

• High School Diploma/GED. Medical Terminology, Anatomy, and Physiology courses or demonstrated appropriate knowledge. CPC Certification (or department approved certification).
• One-year related experience in medical billing and demonstrated analytical skills.
• Additional education may substitute for required experience and additional related experience may substitute for required education beyond HS Diploma/Graduation Equivalent, to the extent permitted by the JHU equivalency formula.

Preferred Qualifications

• Epic experience.
• Understanding of third-party payer issues.

Classified Title: Coding Specialist
Role/Level/Range: ATO 40/E/02/OE
Starting Salary Range: $18.20 - $33.90 Annually ($54,080 targeted; Commensurate w/exp.)
Employee group: Full Time
Schedule: M-F 8:30-5:00
FLSA Status: Non-Exempt
Location: Remote
Department name: SOM DOM Billing
Personnel area: School of Medicine

Total Rewards
The referenced base salary range represents the low and high end of Johns Hopkins University’s salary range for this position. Not all candidates will be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, education/training and other qualifications. Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement.

Education and Experience Equivalency
Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines: JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis.

Applicants Completing Studies
Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.

Background Checks
The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University.

Diversity and Inclusion
The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, the JHU Roadmap on Diversity and Inclusion.

Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Accommodation Information
If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the Talent Acquisition Office at [e-mail].