Coding Specialist
1 day ago
We are seeking a skilled Coding Specialist to join our team at Johns Hopkins University. The successful candidate will be responsible for diagnosis and CPT coding within various department billing offices.
Key Responsibilities- Gather and verify all information required to produce a clean claim, including special billing procedures defined by payers or contracts.
- Bundle charges appropriately based on CPT code rules and payer billing guidelines.
- Resolve POS vs. CPT code discrepancies.
- Verify E/M code types, such as New vs. Established patients and level of service.
- Maintain a system of billing accuracy through encounter verification, including clinic schedules, EPIC encounter information, I/P consults, and medical records.
- Follow payer guidelines and limiting coverage guidelines for diagnosis coding, using LCD/NCD/payer policy information and assigning appropriate modifiers based on departmental policy.
- Carry diagnosis codes out to the highest level of specificity that is appropriate.
- Follow ICD-10 codes to ensure diagnosis codes are appropriate for each specialty.
- Review and resolve EPIC Charge Review edits daily.
- Research and respond to coding questions from physicians, patients, and coworkers as necessary.
- High School Diploma/GED.
- Medical Terminology, Anatomy, and Physiology courses or demonstrated knowledge.
- CPC Certification (or department-approved certification).
- One year of related experience in medical billing and demonstrated analytical skills.
- Epic experience.
- Understanding of third-party payer issues.
- Epic experience.
- Understanding of third-party payer issues.
The employee will remain in a stationary position (mostly seated) up to 80% of the time. Occasional travel may be required to retrieve supplies or mail/documents from other locations.
The employee is required to operate a computer keyboard, mouse, calculator, and phone 80% of the day. Additional duties may require opening envelopes, removing or applying staples, processing mail, requiring finger dexterity and some repetitive motions.
Prolonged vision requirements, including ability to see/viewing computer screen, paper reports/documents, charts.
Position requires frequent use of the telephone, while multi-tasking to retrieve or review information from the computer in order to assist callers quickly and confidentially.
Must be able to communicate using the spoken and written word in a clear, concise, and professional manner. Able to hear within normal range.
May transport materials usually less than 20 pounds from one area to another; may be required to lift and/or move up to 40 pounds with proper training, or precautions/lifting aides.
Staff may be required to complete annual competency review, and must ensure compliance with Hospital Policy, Laboratory Policy & Procedure, Health, Safety & Environment regulations, and all applicable privacy & confidentiality laws/practices.
Johns Hopkins School of Medicine – Clinical Operations - Required Attendance position: in the event of unexpected university closings including inclement weather or declared emergency, the employee in this position may be required to report to work and/or remain at work and may be required to work additional hours.
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