Coding Specialist

1 month ago

Middle River, United States Johns Hopkins University Full time

We are seeking a Coding Specialist II responsible for understanding 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.


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 backup to Charge Entry when needed.
  • Will research and respond to coding questions from physicians, patients (via SBO Account WQ) and co-workers as necessary.


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


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/GED required.
  • 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.
  • Epic experience and understanding of third-party payer issues preferred.


Preferred Qualifications

Classified Title: Coding Specialist II
Role/Level/Range: ATO 40/E/02/OF
Starting Salary Range: $21.25 - $36.90 HRLY ($60,424 targeted; Commensurate with experience)
Employee group: Full Time
Schedule: M-F; 8:30-5:00
Exempt Status:Non-Exempt
Location:Remote
Department name: SOM DOM Billing
Personnel area: School of Medicine

  • Clinical Coding and Collections Specialist

    3 weeks ago

    Toms River, New Jersey, United States The Godek Center Full time

    Job OverviewThe Godek Center, a premier cosmetic and reconstructive plastic surgery practice, is seeking a skilled Clinical Coding and Collections Specialist to join our team. Located in New Jersey, we offer a dynamic work environment with opportunities for growth and development.Compensation PackageA competitive salary of approximately $65,000 per year...

  • Medical Coding Specialist Position

    3 weeks ago

    Crystal River, Florida, United States PedIM Healthcare Full time

    Role SummaryA Medical Coding Specialist is required to translate patient medical records into the proper codes used by insurers for claim processing. This role ensures accurate and efficient billing, upholding high standards of care and service.About UsPedIM Healthcare is a respected local healthcare provider in Citrus County. We prioritize patient care,...

  • Collection Specialist

    2 weeks ago

    Middle River, United States Johns Hopkins University Full time

    The Department of Orthopaedic Surgery is seeking a full-time Collections Specialist to join the production unit team. This person will be responsible for the collections of unpaid medical insurance claims, and follow up on unpaid medical claims, as well as appealing these claims.Specific Duties & ResponsibilitiesUses system collection reports, such as: aged...

  • Medical Billing Specialist

    3 weeks ago

    Toms River, New Jersey, United States Ocean Plastic Surgery PA Full time

    **Job Title:** Medical Billing Specialist - Surgical Coding**Company Overview:** Ocean Plastic Surgery PA is a leading surgical practice specializing in cosmetic and reconstructive plastic surgery of the face and body. We are dedicated to providing exceptional care to our patients and ensuring smooth operational processes behind the scenes.**Estimated...

  • Medical Refund Specialist

    4 weeks ago

    Middle River, Maryland, United States Johns Hopkins University Full time

    We are seeking a detail-oriented and organized Medical Refund Specialist to join our team at Johns Hopkins University. In this role, you will be responsible for processing refunds and resolving credit balances in a timely and accurate manner.The ideal candidate will have excellent analytical skills, attention to detail, and the ability to work effectively in...

  • Medical Coding Specialist

    3 weeks ago

    Black River Falls, Wisconsin, United States Black River Memorial Hospital Full time

    **Black River Memorial Hospital: A Career in Medical Coding**The Medical Coder II role at Black River Memorial Hospital offers a challenging and rewarding career opportunity for individuals with strong analytical skills and knowledge of medical coding guidelines.**Key Responsibilities:**Review patient documentation to assign accurate ICD-10CM, PCS, HCPCS,...

  • Youth Coding Specialist

    1 week ago

    Fox River Grove, Illinois, United States Impact Kids Full time

    Company OverviewAt Impact Kids, we prioritize creating a supportive and engaging environment for children to learn and grow.Job SummaryWe are seeking a highly motivated and experienced Tech Educator for Kids to lead our coding program. As a key member of our team, you will design and deliver interactive coding lessons, foster a love for technology among...

  • CO Refund Specialist

    6 months ago

    Middle River, United States Johns Hopkins University Full time

    Job Req ID: 114602 CO Refund Specialist We are seeking a who will be responsible for the processing of refunds and the resolution of credit balances. This position will analyze the EPIC billing system to assure accuracy of payment posting and third-party reimbursement. Credits will be appropriately investigated and processed following proper...

  • Revenue Cycle Specialist

    2 days ago

    Middle Island, United States M&D Capital Premier Billing Full time

    Job Title: Medical Billing Revenue Cycle Management SpecialistJob Summary: We're looking for a skilled Medical Billing- Revenue Cycle Management specialist to join our team in Middle Island, NY. As a key member of our medical billing team, you'll be responsible for ensuring accurate and timely follow-up on billed claims.Responsibilities:Claims Follow-up:...

  • Payroll Manager

    1 week ago

    Middle River, United States Excelsia Injury Care Full time

    Compensation RangeThis salary range for this position is $85-100k/year commensurate with experience plus bonus potential.About UsAt Excelsia Injury Care we provide management services to a host of healthcare companies throughout Maryland, Delaware, Virginia, Pennsylvania, New Jersey, and Missouri which furnishes high-quality integrated healthcare to people...

  • Medical Billing Specialist

    3 weeks ago

    Crystal River, Florida, United States PedIM Healthcare Full time

    About PedIM HealthcarePedIM Healthcare is a leading provider of high-quality healthcare services in Lecanto, Florida.We are currently seeking a detail-oriented and experienced Medical Billing Specialist to join our team. This role involves working in a fast-paced environment and utilizing strong mathematical and data entry skills to process medical claims...

  • Senior Plumbing Specialist

    2 days ago

    Eagle River, Alaska, United States Fred's Plulmbing & Heating Service, Inc. Full time

    Job OverviewWe are seeking a Senior Plumbing Specialist to join our team at Fred's Plumbing & Heating Service, Inc.The successful candidate will have strong troubleshooting and critical thinking skills, as well as excellent communication and problem-solving abilities.Responsibilities include assembling and installing plumbing systems, analyzing blueprints...

  • Senior Database Specialist with SSIS Skills

    6 days ago

    Fall River, Massachusetts, United States nuanza Full time

    Nuanza is a pioneering company in the field of data analytics, seeking a seasoned Senior Database Specialist with SSIS skills to join our team. This is a chance for an experienced professional to make a meaningful impact and advance their career.About NuanzaNuanza is a trailblazing organization that excels in delivering innovative data management solutions....

  • Medical Care Specialist

    3 weeks ago

    Toms River, New Jersey, United States RWJBarnabas Health Full time

    RWJBarnabas Health is seeking a dedicated Medical Care Specialist to join their team in the Wound Care Unit at the Community Medical Center. Located in Toms River, New Jersey, this 592-bed acute care hospital offers world-class medical treatment with hometown care.About the RoleAs a Medical Care Specialist, you will be responsible for providing high-quality...

  • Medical Revenue Cycle Management Professional

    3 weeks ago

    Middle Island, United States M&D Capital Premier Billing Full time

    Revenue Cycle Management SpecialistWe are seeking a highly experienced Medical Billing- Revenue Cycle Management specialist to join our team at M&D Capital Premier Billing. The ideal candidate will have a strong understanding of medical billing processes and terminology, experience in follow-up for Out-Of-Network providers, ensuring accurate and timely...

  • Medical Billing Specialist

    3 days ago

    Crystal River, Florida, United States PedIM Healthcare Full time

    Job DescriptionPedIM Healthcare is a leading provider of high-quality healthcare services in Lecanto, Florida. We are currently seeking a detail-oriented and experienced Medical Billing Specialist to join our team.The ideal candidate will have strong knowledge of medical billing and coding procedures, proficiency in medical billing software and electronic...

  • Healthcare Specialist

    3 weeks ago

    Toms River, New Jersey, United States The Foster Management Group LLC Full time

    Job OpportunityThe Foster Management Group LLC is seeking an experienced Healthcare Specialist - Revenue Cycle to join their team. This part-time position involves working with medical coding and billing for office, ASC, and hospital services.Key Responsibilities:Coding and billing for various healthcare settingsPosting and balancing insurance...

  • Kids Technology Specialist

    1 week ago

    Fox River Grove, Illinois, United States Impact Kids Full time

    Become a part of Impact Kids' team as a Kids Technology Specialist. In this role, you will design and deliver technology programs for students aged 4-18. You will teach fundamental robotics, programming, and coding concepts while promoting skill development and proficiency. A key requirement is having excellent communication skills and being able to adapt...

  • Commercial Electrician Specialist

    2 days ago

    Fall River, Massachusetts, United States Kelly Services Full time

    Job OpportunityWe are seeking a skilled Commercial Electrician Specialist to join our team in Fall River, MA. This is a direct hire position offering a competitive salary of $40-$45 per hour plus weekly incentives.About the Role:Design and install electrical systems for commercial projects.Troubleshoot and resolve electrical issues efficiently.Maintain...

  • Medical Billing Specialist

    4 weeks ago

    Crystal River, Florida, United States PedIM Healthcare Full time

    Job SummaryPedIM Healthcare, a leading provider of high-quality healthcare services in Florida, seeks a detail-oriented and experienced Medical Billing Specialist to join our team. As a key member of our revenue cycle team, you will play a vital role in ensuring accurate and timely processing of medical claims.Our ideal candidate has strong knowledge of...