"Coding Specialist II"

Job Details

Johns Hopkins, founded in 1876, is America's first research university and home to nine world-class academic divisions working together as one university.

We are seeking a Coding Specialist II is responsible for understanding all aspects of coding, quality assurance, and compliance with Federal payer documentation guidelines. Works closely with departmental management and coordinates with the Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation.

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 Compliance for Professional Fee Services 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 Department 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.
• Pro Fee Tracking Database- May fill out missing information form and forward to the appropriate contact person.

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

• High school diploma or graduation equivalent.
• Medical Terminology, Anatomy and Physiology courses or demonstrated appropriate knowledge.
• CPC Certification (or department approved certification).
• Three years coding experience with demonstrated analytical skills.
• Experience with Medicare regulations.
• Additional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school 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 II
Role/Level/Range: ATO 40/E/02/OF
Starting Salary Range: $21.25 - $36.90 HRLY ($26.47/hour targeted; Commensurate w/exp.)
Employee group: Full Time
Schedule: Monday-Friday (8 hours)
FLSA Status: Non-Exempt
Location: Remote
Department name: SOM Ane 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 at jhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711.