Pathology Coding Specialist

Johns Hopkins Medical Management Corporation; Maryland; Remote; USD 36,000 - 41,000; Full time

Job summary

Johns Hopkins Health System is seeking a Coding Specialist for the Pathology department to perform professional fee coding in a physician-based setting, with CPT, ICD-10-CM, HCPCS coding, E/M leveling, and documentation review to ensure accurate reimbursement.

Required: a Bachelor's in HIM or related field (or a high school diploma with 2 years medical coding experience), CPC/CCA/CCS-P certification, at least 3 years coding experience in pathology, and knowledge of Medicare/Medicaid policies.

Qualifications

• Bachelor's degree or equivalent in HIM, medical coding, or related field; or high school diploma with 2 years coding experience.
• Certification required: CPC, CCA, or CCS-P.
• Minimum of 3 years of coding experience.
• Laboratory Pathology coding experience preferred; focus on pathology coding.
• Knowledge of Medicare, Medicaid, and commercial payer policies and coding compliance standards.
• Demonstrated knowledge of CPT and HCPCS coding systems, medical terminology, anatomy and physiology, and professional billing coding guidelines.
• ICD-10 knowledge is required.
• Experience using coding and revenue cycle systems to review work queues and resolve coding edits.

Responsibilities

• Assigns diagnosis and procedure codes to professional billing encounters based on medical record documentation and applicable coding guidelines.
• Reviews and codes moderately complex cases, including encounters with multiple diagnoses, comorbid conditions, or complex documentation scenarios.
• Utilizes revenue cycle and coding systems to review work queues, identify coding-related claim issues, and resolve routine and moderately complex discrepancies.
• Collaborates with providers and clinical staff to clarify documentation and improve the quality and completeness of clinical documentation to support accurate coding and billing.
• Participates in coding quality assurance activities and ensures compliance with federal, state, payer, and organizational coding guidelines while maintaining productivity and quality standards.
• Core Coding Focus: this role involves professional fee coding in a physician-based environment with CPT, ICD-10-CM, HCPCS, E/M leveling, and documentation review.

Skills

CPT coding

HCPCS coding

ICD-10 knowledge

Regulatory compliance

Documentation clarification

Education

Bachelor's Degree in HIM, Medical Coding, or related field

High school diploma or GED with 2 years medical coding experience

Tools

CPC (AAPC Certified Professional Coder)

CCA (Certified Coding Associate)

CCS-P (Certified Coding Specialist - Physician)

Job description

Overview

Johns Hopkins Intrastaff connects professionals with flexible temporary opportunities across clinical, allied health, administrative, IT, and other fields. With full-time, part-time, per diem, and long-term assignments, you can enjoy the flexibility of temporary work while benefiting from the support and resources of a world-renowned health system.

Johns Hopkins Health System is hiring for a Coding Specialist for the Pathology department.

Schedule:

• Monday- Friday
• 8:00am-4:30pm or 8:30am-5:00pm

Location:

• 100% remote
• Equipment will be provided by department
• In-home internet is required
• Candidates are required to hold permanent residence in one of the following states:
  • Maryland, Pennsylvania, Virginia, Delaware, Washington D.C., or Florida

Required Experience for the Pathology Specialty:

• Minimum of 3 years of coding experience
• Competent in Laboratory Pathology coding (anatomical ok, but this role is for laboratory coding)
• Minimum of 1 experience coding in Pathology

Pay Range:

• $26-30 per hour

Responsibilities

• Assigns diagnosis and procedure codes to professional billing encounters based on medical record documentation and applicable coding guidelines.
• Reviews and codes moderately complex cases, including encounters involving multiple diagnoses, comorbid conditions, or complex documentation scenarios.
• Utilizes revenue cycle and coding systems to review assigned work queues, identify coding-related claim issues, and independently resolve routine and moderately complex discrepancies.
• Collaborates with providers and clinical staff to clarify documentation and improve the quality and completeness of clinical documentation to support accurate coding and billing.
• Participates in coding quality assurance activities and ensures compliance with federal, state, payer, and organizational coding guidelines while maintaining productivity and quality standards.

• Core Coding Focus: This role involves professional fee coding in a physician-based environment and includes work with CPT coding, ICD-10-CM diagnosis coding, HCPCS coding as applicable, Evaluation & Management (E/M) leveling, and physician documentation review to support accurate, compliant coding and appropriate reimbursement.

Qualifications

• Minimum of a Bachelors Degree in HIM, Medical Coding, or related field; or a minimum of high school diploma or GED and 2 years work experience in medical coding can be substituted for Bachelors Degree

• CPC (AAPC Certified Professional Coder), CCA (Certified Coding Associate), or CCS-P (Certified Coding Specialist - Physician) certification is required.

• Minimum of 3 years of coding experience
• Competent in Laboratory Pathology coding (anatomical ok, but this role is for laboratory coding)
• Minimum of 1 experience coding in Pathology

• Knowledge of Medicare, Medicaid, and commercial payer policies, including coding compliance standards and regulatory requirements

• Demonstrated knowledge of CPT and HCPCS coding systems, medical terminology, anatomy and physiology, and professional billing coding guidelines
• Demonstrated knowledge of ICD-10 is required
• Experience utilizing coding and revenue cycle systems to review work queues, resolve coding edits, and support accurate claim submission

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affiantive Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.