Remote 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

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.