• Coding Specialist

    Johns Hopkins University (Middle River, MD)


    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.

    + Additional education may substitute for required experience and additional related experience may substitute for required education beyond HS Diploma/Graduation Equivalent, 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 Annually ($54,080 targeted; Commensurate w/exp.)

     

    Employee group: Full Time

     

    Schedule: M-F 8:30-5:00

     

    FLSA Status: Non-Exempt

     

    Department name: SOM DOM Billing

    Personnel area: School of Medicine

    The listed salary range represents the minimum and maximum Johns Hopkins University offers for this position, based on a good faith estimate at the time of posting. Actual compensation will vary depending on factors such as location, skills, experience, market conditions, education, and internal equity. Not all candidates will qualify for the highest salary in the range.

     

    Johns Hopkins provides a comprehensive benefits package supporting health, career, and retirement. Learn more: https://hr.jhu.edu/benefits-worklife/.

     

    Equal Opportunity Employer

     

    All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

    EEO is the Law

    https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf