CO Coding Specialist

The Department of Gynecology and Obstetrics is seeking aCoding Specialist (Remote) who will be responsible for diagnosis and CPT coding within the various department billing offices. This role 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:

Procedural Knowledge:

• 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. Established 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.
• 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 (Mandatory):

• High School Diploma or GED.
• Medical Terminology, Anatomy, and Physiology courses or demonstrated appropriate knowledge.
• CPC Certification (or department approved certification).
• One (1) year related experience in medical billing and demonstrated analytical skills.
• Epic experience preferred
• Understanding of third-party payer issues preferred

Preferred Qualifications:

• Epic experience.
• Understanding of third-party payer issues.

Special Knowledge, Skills & Abilities:

Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.

Classified Title:Coding Specialist
Role/Level/Range: ATO 40/E/02/OE
Starting Hourly Pay Rate:$17.59 - $24.80/hr (commensurate with experience)
Employee group: Full Time
Schedule:Monday - Friday, 8:30 am - 5:00 pm
Exempt Status: Non-Exempt
Location: Remote
Department name: SOM OB GYN 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.

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. 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 campus. 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.

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