Coding Specialist Johns Hopkins University

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 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. 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. 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. Classified Title: Coding Specialist Role/Level/Range: ATO 40/E/02/OE  
Starting Salary Range: Min $18.00 - Max $33.50 HRLY ($25.75/hour targeted; Commensurate with experience)
Employee group: Full Time 
Schedule: M-F 
Exempt Status: Non-Exempt 
Location: Remote 
Department name: SOM DOM Billing  
Personnel area: School of Medicine 
Total Rewards
The referenced salary range is based on Johns Hopkins University's good faith belief at the time of posting. Actual compensation may vary based on factors such as geographic location, work experience, market conditions, education/training and skill level. Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: 
Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:
JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
**Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.
The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate's conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.
The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, the JHU Roadmap on Diversity and Inclusion .
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.
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Johns Hopkins University remains committed to its founding principle, that education for all students should be grounded in exploration and discovery. Hopkins students are challenged not just to learn but also to advance learning itself. Critical thinking, problem solving, creativity, and entrepreneurship are all encouraged and nourished in this unique educational environment. After more than 130 years, Johns Hopkins remains a world leader in both teaching and research. Faculty members and their research colleagues at the university's Applied Physics Laboratory have each year since 1979 won Johns Hopkins more federal research and development funding than any other university. The university has nine academic divisions and campuses throughout the Baltimore-Washington area. The Krieger School of Arts and Sciences, the Whiting School of Engineering, the School of Education and the Carey Business School are based at the Homewood campus in northern Baltimore. The schools of Medicine, Public Health, and Nursing share a campus in east Baltimore with The Johns Hopkins Hospital. The Peabody Institute, a leading professional school of music, is located on Mount Vernon Place in downtown Bal ... timore. The Paul H. Nitze School of Advanced International Studies is located in Washington's Dupont Circle area. Show more
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