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CO Coding Specialist

Employer
Johns Hopkins University
Location
Maryland, United States
Salary
Salary Not Specified
Date posted
Apr 12, 2021

General Summary/Purpose

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. Must be able to exercise independent judgment. Works closely with departmental management and coordinates with Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation

Specific Duties & Responsibilities

Procedural Knowledge:

  • Gather and verify all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract.
  • Bundle appropriately for CPT and payer guidelines.
  • Maintain a system of billing accuracy through encounter verification, i.e., clinic schedules, encounter forms, I/P consults, medical records.
  • Verify location of codes for appropriateness.
  • Verify provider type, i.e., level 1, 2, etc., according to visit and procedure.
  • Follow payer guidelines.
  • Follow limiting coverage guidelines for diagnosis coding.
  • Carry coding out to fourth or fifth digit as appropriate.
  • Use E and V codes according to payer guidelines for supplemental information.
  • Follow ICD-10 codes to ensure diagnosis codes are appropriate for each specialty.
  • May review and resolve work queue edits daily.
  • May obtain correct NPI number and all needed information for Referring Doc Dictionary.
  • May pick up and deliver charge vouchers to various departments.
  • May act as a back up to Charge Entry when needed.
  • Pro Fee Tracking Database. May fill out missing information form and forward to the appropriate contact person.
  • Periodic review with departmental staff of encounter forms or coding forms to ensure they are current.
  • Perform miscellaneous related duties as assigned.

Technical Knowledge:

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

Professional & Personal Development:

  • Participate in on-going educational activities.
  • 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(Required)

High School Diploma or GED.

  • One (1) year of related experience.
  • CPC Designation.
  • Courses in Medical Terminology, Anatomy, and Physiology, or demonstrated appropriate knowledge.

Preferred Qualifications

CPC Certification (or department approved certification),

  • Two years related college level courses equal to an Associate of Arts Degree.
  • EPIC and Microsoft experience.
  • Ability to code from medical record documentation or narrative diagnosis or procedure description.
  • Understanding of third party payer issues.

Special Knowledge, Skills, and Abilities

  • Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.
  • Able to exercise independent judgment.
  • Excellent analytical skills.
  • CPC Certification (or department approved certification).

Classified Title: Coding Specialist
Working Title: CO Coding Specialist
Role/Level/Range: ATO 40/E/02/OE
Starting Hourly Pay Rate Range:$17.42 - $23.95 /Commensurate with Experience
Employee group: Full Time
Schedule:Monday - Friday / 40 hrs per week
Exempt Status: Non-Exempt
Location:16-MD:JH at White Marsh
Department name: 10003116-SOM PMR Production Unit Billing
Personnel area: School of Medicine

The successful candidate(s) for this position will be subject to a pre-employment background check.

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office atjhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711.

The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.

During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.

The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

Equal Opportunity Employer
Note: Job Postings are updated daily and remain online until filled.

EEO is the Law
Learn more:
https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf

JH at White Marsh


The successful candidate(s) for this position will be subject to a pre-employment background check.

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at jhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711.

The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.

During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.

The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

Equal Opportunity Employer
Note: Job Postings are updated daily and remain online until filled.

EEO is the Law
Learn more:
https://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf
Important legal information
http://hrnt.jhu.edu/legal.cfm

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