Hospital Coding Specialist II

Johns Hopkins Medicine; Baltimore, Northern (MD, KY); Hybrid; USD 34,000 - 55,000; Full time

Benefits offered by this job

Career growth

Tuition assistance

Collaborative environment

Benefits package

Job summary

Johns Hopkins Medicine seeks a Coding Specialist II to analyze clinical documentation and assign ICD-10, CPT, and HCPCS codes for outpatient records across multiple facilities.

The role requires a Bachelor's degree in health information management and at least 2 years of medical coding experience, with certifications such as COC, RHIT, or CPC preferred. Remote location with state registration requirements applies.

Qualifications

• Bachelor's degree in health information management or related field.
• COC/RHIT/CPC certification required for outpatient coding.
• Minimum 2 years of medical coding experience.

Responsibilities

• Analyze and interpret clinical documentation to code and abstract data for outpatient records.
• Assign ICD-10 diagnosis, CPT, and HCPCS codes and modifiers for accurate claims.
• Use revenue management software and encoder to identify and resolve coding edits.
• Query physicians as needed to ensure accurate code assignment and data quality.
• Organize work to meet deadlines and stay current with coding guidelines.

Skills

Outpatient coding

Education

Bachelor's Degree in health information management

Tools

Epic

Revenue management software

Encoder

Job description

The Johns Hopkins Health System Corporation is a not-for-profit organization dedicated to providing the highest quality of care in the treatment and prevention of human illness. JHHS is an academically based health system consisting of: The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center, Johns Hopkins Howard County Medical Center, Suburban Hospital, Sibley Memorial Hospital, The Johns Hopkins All Children’s Health System, Johns Hopkins Community Physicians, The Johns Hopkins Medical Services Corporation and Johns Hopkins Medical Management Corporation.

What Awaits You?

• Career growth and development
• Employee and Dependent Tuition Assistance
• Diverse and collaborative working environment
• Affordable and comprehensive benefits package

Summary

Under the supervision of the Coding Supervisor, ED, OP Surgery & Observation, the Coding Specialist II analyzes and interprets clinical documentation to accurately code and abstract data for all hospital facility outpatient records (Emergency Department, Ambulatory Surgery, Observation, Interventional Radiology, Clinic/Diagnostic) and/or Ambulatory Surgical Center (ASC) records for all JHHS entities.

The Coding Specialist II will review medical record documentation to ensure services are billed with the appropriate diagnosis and procedures, will assign the appropriate ICD-10 diagnosis, CPT, and HCPCS procedure codes as documented for accurate claim submission, as well as assign appropriate modifiers to bill appropriately for all services provided. The Coding Specialist II will also be responsible for using revenue management software to identify and resolve coding and claim edits. Utilizing a computerized encoder and multiple databases, abstracts data from clinical documentation in the electronic health record and assigns classification codes in accordance with Federal, State, and organizational guidelines.

The CS II is also responsible for reviewing edits in Epic, which includes an understanding of HSCRC guidelines and correct coding, and applying those rules to ensure claims are billed appropriately. When coding ASC accounts, the CS II also requires working with departments in the hospital and health system to identify missing charges and charges billed in error. Queries physicians as needed, clarifying documentation to ensure accurate code assignment, and supports all uses of coded data. Organizes and prioritizes work to meet deadlines and goals. Maintains and expands knowledge of coding and sequencing guidelines to ensure compliance and accuracy. The Coding Specialist II works as a team member and positively accepts change throughout the Health System while establishing relationships at all facilities as needed.

Registered Remote Locations

Maryland, Virginia, Washington, DC, Florida, Pennsylvania, and Delaware. (While this is a remote position, employees are required to work in the states where our organization is registered)

Education

• Bachelor's Degree in health information management or a related field

• One year of relevant education may be substituted for one year of required work experience or one year of relevant professional-level
  work experience may be substituted for one year of required education.

Required Licensure, Certification, and Ongoing Training

• Outpatient Coding: COC Certified Outpatient Coder 10000296 Upon Hire (Required for outpatient) or RHIT Registered Health Information Technician or CPC Certified Professional Coder

• Successful completion of Outpatient Coding Specialist II diagnosis and CPT coding pre-employment assessment upon hire.

Work Experience

Minimum 2 Years of Experience in medical coding or a related field Required (Required)

Salary Range

Minimum 24.32/hour - Maximum 40.16/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

The Hospital reserves the right to modify employee schedules as needed.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.