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Career Opportunities: Coding Specialist (115895)

Remote:

Full Remote

Contract:

Full time

Experience:

Junior (1-2 years)

Work from:

United States

Offer summary

Qualifications:

High School Diploma/GED, CPC Certification or equivalent, One year of medical billing experience, Medical Terminology, Anatomy, and Physiology knowledge, Epic experience preferred.

Key responsabilities:

Perform diagnosis and CPT coding for billing
Ensure accuracy through encounter verification
Resolve coding discrepancies and inquiries
Maintain compliance with HIPAA and payer guidelines
Assist in training and ongoing education

The Johns Hopkins University Education XLarge https://www.jhu.edu/

10001 Employees

See more The Johns Hopkins University offers

Job description

We are seeking a Coding Specialist responsible for diagnosis and CPT coding within the various department billing offices. Will review or code charges for diagnosis and CPT for entry into the JHM and JHU/ PBS billing applications. This can be accomplished through an interface or manual charge entry for services performed at JHM practice sites.

Specific Duties & Responsibilities

Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract.
Bundle appropriately based on CPT code rule and payer billing guidelines.
Resolves POS vs. CPT code discrepancies.
Verify E/M code type such as New vs. Establish patients and level of service.
Responsible for maintaining a system of billing accuracy through encounter verification i.e., clinic schedules, encounter information in EPIC, I/P consults and medical records.
Follows payer guidelines.
Follows limiting coverage guidelines for diagnosis coding by using LCD/NCD/payer policy information and assigns appropriate modifiers based on departmental policy.
Carries diagnosis code out to the highest level of specificity that is appropriate.
Follows ICD-10 codes to ensure diagnosis codes are appropriate for each specialty.
Review and resolve EPIC Charge Review edits daily.
May obtain correct NPI number and all needed information from Referring Doc Dictionary. May act as a back up to Charge Entry when needed.
Will research and respond to coding questions from physicians, patients (via SBO Account WQ) and co-workers as necessary.
Exercises independent judgment in daily activities.

Technical Knowledge

Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
Working knowledge of JHU/ PBS Billing Applications.
Utilize online resources to facilitate efficient claims processing.

Professional & Personal Development

Participate in on-going educational activities.
Assist in the training of staff.
Keep current of industry changes by reading assigned material on work related topics.
Complete three days of training annually.

Service Excellence

Must adhere to Service Excellence Standards.

Customer Relations
Self-Management
Teamwork
Communications
Ownership/Accountability
Continuous Performance Improvement.

Minimum Qualifications

High School Diploma/GED. Medical Terminology, Anatomy, and Physiology courses or demonstrated appropriate knowledge. CPC Certification (or department approved certification).
One-year related experience in medical billing and demonstrated analytical skills. Epic experience. Understanding of third-party payer issues.
Additional education may substitute for experience to the extent permitted by the JHU equivalency formula.

Preferred Qualifications

Epic experience.
Understanding of third-party payer issues.

Classified Title: Coding Specialist
Role/Level/Range: ATO 40/E/02/OE
Starting Salary Range: $18.20 - $33.90 HRLY ($54,080 targeted; Commensurate with experience)
Employee group: Full Time
Schedule: M-F; 40hrs/wk
Exempt Status: Non-Exempt
Location: Remote
Department name: SOM DOM Billing
Personnel area: School of Medicine