Revenue Integrity Coding Specialist I

Johns Hopkins Medicine; Baltimore (MD); On-site; USD 37,000 - 60,000; Full time

Benefits offered by this job

Room for growth

Affordable and comprehensive benefits"

Employee and Dependent Tuition Aid

Job summary

Johns Hopkins Medicine remotely supports a Revenue Integrity role focused on improving charge capture and ensuring billing compliance. Under the Director of Revenue Integrity, you will contribute to a multidisciplinary team advancing the full charging process from patient care to final bill generation.

The Specialist II position requires experience with healthcare billing systems, knowledge of charge masters, and coding certification.

Qualifications

• Bachelor's Degree in finance, healthcare administration, or related field (Required)
• 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.
• Two years of experience with healthcare billing systems (Required)
• Certification in Coding: CPC, CCS or COC; AHIMA or AAPC certification (Required)

Responsibilities

• Supports associated processes for consistent and accurate charge capture and reconciliation practices to optimize charging and identify opportunities for improvement and prevention of revenue leakage.
• Provides local direction and input and is expert for build and maintenance of charge masters and fee schedules (R&B, lab, pharmacy, supplies, surgical, radiology, cardiology, etc.) and works with CDM, compliance and coding teams.
• Promotes collaboration between reimbursement, finance, clinical and operational leadership; communicates performance opportunities, instills accountability, supports change management, monitors quality and provides routine feedback and education.
• Oversees charge monitoring and charge capture activities to identify opportunities to correct and prevent missed or incorrect charges and improve charging practices.

Education

Bachelor's Degree in finance, healthcare administration, or related field

Two years of experience with healthcare billing systems

Certification in Coding: CPC, CCS or COC

Job description

What Awaits You?

• Room for growth
• Affordable and comprehensive benefits package
• Employee and Dependent Tuition Assistance

This is a remote role- only applicants living in MD, DC, VA, PA, DE, or FL will be considered.

Job Summary:

Supports Revenue Integrity’s Mission towards creating a multidisciplinary revenue integrity team to strengthen the interface between clinical departments and charge improvement and compliance for billing. Under direction of the Director of Revenue Integrity, the Revenue Integrity Specialist II plays an important role in a high-profile group tasked with improving charge capture results by taking a global view of the full charging process, functions and interdependencies from the provision of patient care to final bill generation. Role will support proper charge compliance through review of coding and billing guidelines and will support denials prevention.

Essential Functions

• Supports associated processes for consistent and accurate charge capture and reconciliation practices in order to optimize charging throughout the organization and identify opportunities for improvement and prevention of revenue leakage.
• Provides local direction and input and is expert for build and maintenance of charge masters and fee schedules (R&B, lab, pharmacy, supplies, surgical, radiology, cardiology, etc. and physician charge master) and works collaboratively with CDM, compliance and coding teams.
• Promotes a collaborative relationship between reimbursement, finance, clinical and operational leadership both local and health system. Communicating performance opportunities, instills accountability, supports change management, monitors quality and provides routine feedback and educational opportunities.
• Oversees charge monitoring and charge capture related activities in order to identify opportunities to correct and prevent missed or incorrect charges and improve charging practices.

Qualifications:

• Bachelor'sDegreeinfinance,healthcareadministration,orarelatedfield(Required)
• Oneyearofrelevanteducationmaybesubstitutedforoneyearofrequiredworkexperienceoroneyearofrelevantprofessional-levelworkexperiencemaybesubstitutedforoneyearofrequirededucation.
• 2 yearsofexperiencewithhealthcarebillingsystems(Required)
• Certification in Coding: CPC, CCS or COC Health care-related licensure or other AHIMA or AAPC recognized coding certification (Required)

Salary Range:

Minimum 26.51/hour - Maximum 43.76/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.