Remote Pathology Coding Specialist (CPC Certified)

Johns Hopkins Medical Management Corporation; Pennsylvania; 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 environment. The role focuses on CPT, ICD-10-CM diagnosis coding, HCPCS as applicable, E/M leveling, and physician documentation review to ensure accurate reimbursement.

The candidate should have a minimum Bachelor’s in HIM or related field (or equivalent experience), plus CPC/CCA/CCS-P certifications and at least 3 years of coding experience, including

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

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.

Skills

Laboratory Pathology coding

Pathology coding

CPT coding

HCPCS coding

ICD-10 coding

Documentation review

Education

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

CPC (AAPC)

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 environment. The role focuses on CPT, ICD-10-CM diagnosis coding, HCPCS as applicable, E/M leveling, and physician documentation review to ensure accurate reimbursement.

The candidate should have a minimum Bachelor’s in HIM or related field (or equivalent experience), plus CPC/CCA/CCS-P certifications and at least 3 years of coding experience, including