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Coding Specialist III

Employer
Johns Hopkins University
Location
Maryland, United States
Salary
Salary Not Specified
Date posted
Oct 20, 2021

The Department of Plastic & Reconstructive Surgery is seeking aCoding Specialist III who will be responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. Works closely with departmental management and coordinates with Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation. Serves as departmental expert on coding questions. Exercises independent judgment and decision making on a regular basis. Responsible for developing coding and billing change procedures. Responsible for training on all coding and billing changes.

Specific Duties & Responsibilities:

Procedural Knowledge:

  • Responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines.
  • Works closely with Office of Billing Quality Assurance to include review of documentation.
  • Serves as departmental expert on coding questions.
  • Exercises independent judgment and decision making on a regular basis with respect to code selection.
  • Holds bills and seeks corrective action for services not meeting documentation requirements in accordance with CPA policies.
  • Researches and answers billing and documentation questions or problems submitted by faculty, department, billing staff, and others to ensure compliance with specific payer regulations and CPA policies and procedures.
  • Supports department compliance efforts through participation in department training and education programs relative to specific product lines in accordance with established policies.
  • Conducts feedback/training sessions for physicians to present the results of medical record documentation as warranted.
  • Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract.
  • Maintains a system of billing accuracy through encounter verification i.e., clinic schedules, encounter forms, I/P consults, medical records.
  • Review and resolve Epic Charge Review Edits daily.
  • 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.
  • Works with Department Management to create Charge Review Rules to prevent unnecessary denials.
  • Works with Department Management on maintenance of provider preference lists.
  • Provides training on all coding changes to providers and staff. Develops presentations to effectively communicate how changes will affect provider billing and coding. Provide face to face training on changes to providers based at all Hopkins locations.

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.
  • Capable of advance problem solving in medical billing and coding.

Professional & Personal Development:

  • Participate in on-going educational activities.
  • Assist in the training of staff, providers, management and administration.
  • Keep current of industry changes by reading assigned material on work related topics and provideupdates to providers, staff, management and administration
  • 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

Supervision of Others:

  • May assist in directing the activities of coding staff or a function relating to the training of new coding staff in coding applications.

Minimum Qualifications (Mandatory):

  • High School Diploma or GED.
  • Medical Terminology, Anatomy and Physiology courses required or demonstrated appropriate knowledge.
  • CPC certification.
  • Five or more years coding experience with demonstrated analytical skills.
  • Experience with Medicare regulations.
Preferred Qualifications (Mandatory):

    Epic experience

Special Knowledge, Skills & Abilities:

    Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.
  • Sub specialty coding certification or second AAPC certification in the departmental area of expertise.
  • Minimum five years coding experience with demonstrated analytical skills.
  • Experience with Medicare regulations.
  • Understanding of third party payer issues.
  • Excellent written and oral communication skills with the ability to communicate effectively with clinic staff, providers, bill staff, management and administration.

Classified Title:Coding Specialist III
Role/Level/Range: ATO 40/E/03/OG
Starting Hourly Pay Rate Range:$22.59 - $31.09/hr (commensurate with experience)
Employee group: Full Time
Schedule:Monday - Friday / 40 hrs
Exempt Status: Non-Exempt
Location:​​​​​​​JH at Middle River
Department name: ​​​​​​​SOM Plastic Surgery
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.

Johns Hopkins has mandated COVID-19 and influenza vaccines, as applicable. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons or because the individual is pregnant or attempting to become pregnant. Requests for an exception must be submitted to the JHU vaccination registry. For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/.

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

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

School of Medicine - East Baltimore Campus


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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