Technical Billing Specialist

18 hours ago

Baltimore MD United States The John Hopkins Health System Full time

You Belong Here Come see why the Johns Hopkins Hospital is a world-renowned leader in patient care, serving the greater Baltimore community and patients from all across the globe. Our friendly and knowledgeable staff teams provide support throughout our many specialty departments and centers, from primary visits to emergency care.

What Awaits You?

  • Career growth and development
  • Diverse and collaborative working environment
  • Affordable and comprehensive benefits package including Tuition Reimbursement

The Technical Billing Specialist is responsible for an intermediate level of analyzing, reviewing and resolving billing denials for medical necessity or any other coding specific facility specific denials. The Specialist will review medical record documentation to assure services are billed with the appropriate diagnosis and procedures, will assign the appropriate ICD-10, CPT, and HCPCS code as documented for accurate claim submission to bill appropriately for all services provided. The Technical Billing Specialist will serve as an intermediate level resource for the Patient Financial Services department to assist with coding guidance. As appropriate, may assign billing modifiers to assure correct reimbursement. In an effort to optimize reimbursement and reduce denials, the Technical Billing Specialist will communicate findings and provide the necessary education for clinical departments and business office staff on coding and billing guidelines. The Technical Billing Specialist will also gather relevant denial trends for presentation to management and make recommendations for improvement.

Hours : Full time (40 hours) - Day Shift, Weekdays

Location : Remote

Requirements :

  • Associates Degree required.
  • Certification in Coding: CPC, CCS or COC or Health care-related licensure or certification in nursing, or other clinically related fields.
  • 3-5 years of experience in outpatient coding.
  • Requires comprehensive knowledge of current regulatory requirements related to Medicare and Medicaid billing including coding and documentation standards and guidelines.
  • Requires current and continued knowledge of insurance claim filing and billing principles. Familiarity with the Maryland regulatory environment is preferred.
  • Requires advanced current and continued knowledge of ICD-10, CPT and HCPCS and coding terminology as it relates to facility billing.

Our competitive Benefit Package is designed to support the well-being and financial security of our employees and includes:

  • Full medical, dental, and vision plans,
  • Retirement plans,
  • Paid time off (PTO),
  • Tuition reimbursement for you and your dependents,
  • Earn up to $1,000 annually for practicing self-care with Healthy @ Hopkins
  • Tell a friend and get paid Ask about our Employee Referral Program Bonus
  • And more Visit our benefits page

Important Notices:

***Effective January 1st 2022, you must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of your vaccination status as part of your occupational health screening. Exceptions to the COVID-19 vaccination requirement may be granted to individuals for religious beliefs or medical reasons by following the proper protocols. Effective 6/1/23, employees at Johns Hopkins All Children’s Hospital, its affiliate locations and Florida State Residents are not required to obtain the COVID-19 vaccine. In the wake of the COVID-19 pandemic, the Johns Hopkins Health System remains committed to providing the highest quality care for our patients and our communities.

***Authorization to Work in the United States: Applicants who require sponsorship now or in the future will not be considered for this position.

Salary Range: Minimum 25.73 per hour - Maximum 42.48 per hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.

In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins

Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

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