Senior Technical Coding Specialist

4 weeks ago


Baltimore, Maryland, United States Johns Hopkins Medicine Full time

Job Summary:

The Senior Technical Coding Specialist will be responsible for analyzing, reviewing, and resolving billing denials for medical necessity or any other coding specific facility specific denials.

This position 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 Senior Technical Billing Specialist will serve as an advanced 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 Specialist will communicate findings and provide the necessary education for clinical departments and business office staff on coding and billing guidelines.

Responsibilities:

  • Analyze and review billing denials for medical necessity or any other coding specific facility specific denials
  • Review medical record documentation to assure services are billed with the appropriate diagnosis and procedures
  • Assign the appropriate ICD-10, CPT, and HCPCS code as documented for accurate claim submission
  • Provide coding guidance to the Patient Financial Services department
  • Assign billing modifiers to assure correct reimbursement
  • Communicate findings and provide education on coding and billing guidelines

Requirements:

  • Bachelor's Degree in health care or business equivalent experience
  • Certification in Coding: CPC, CCS or COC-H
  • Health care-related licensure or certification in nursing, or other clinically related fields
  • 5 or more years of experience in outpatient coding
  • Comprehensive knowledge of current regulatory requirements related to Medicare and Medicaid billing
  • Current and continued knowledge of ICD-10, CPT and HCPCS and coding terminology

Benefits:

  • Full medical, dental, and vision plans
  • Retirement plans
  • Tuition reimbursement for you and your dependents

Work Environment:

Remote work available

Our organization is registered for remote work in the following states: To be considered for a remote or hybrid position, relocation is required to one of the registered states if not currently residing in one.

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.



  • Baltimore, Maryland, United States Omni Inclusive Full time

    Technical Support Role OverviewAt Omni Inclusive, we are seeking a highly skilled SailPoint Senior Technical Support Specialist to join our team. The ideal candidate will have a strong background in coding and development using Java, as well as excellent knowledge of IAM concepts like JML, RBAC, Provisioning, and LDAP.Key Responsibilities: Provide level 2...


  • Baltimore, Maryland, United States Three Point Solutions Full time

    Job Title: Medical Coding Specialist Client: Healthcare Organization Job Description: Purpose:Provides expert support for value-based reimbursement and medical policy models. Offers advanced knowledge for effective provider partnerships and guidance on quality measure capture and CPT/ICD 10 code use in claims submissions. Utilizes extensive coding knowledge,...


  • Baltimore, Maryland, United States University of Maryland Medical System Full time

    Job SummaryWe are seeking a skilled Inpatient Coding Specialist to join our team at the University of Maryland Medical System. As a key member of our coding team, you will be responsible for accurately coding hospital inpatient accounts for reimbursement, research, statistics, and compliance with federal and state regulations.Key ResponsibilitiesAnalyze and...


  • Baltimore, Maryland, United States TEKsystems Full time

    Job Summary:We are seeking a skilled Medical Coding Specialist to join our team at TEKsystems. As a Medical Coding Specialist, you will be responsible for coding procedures, working with ICD10 codes, and making edits and corrections to payments as needed. You will also be working with insurance companies and clinics to determine proper codes and billing for...


  • Baltimore, Maryland, United States University of Maryland Medical System Full time

    Job OverviewThe University of Maryland Medical System is a leading healthcare provider with a strong commitment to quality and excellence. We are seeking a skilled Clinical Coding Specialist to join our team.Key ResponsibilitiesAudit hospital inpatient, ambulatory surgery, observation, and outpatient encounter visits to ensure accurate reimbursement,...

  • Coding Specialist III

    4 weeks ago


    Baltimore, Maryland, United States MedStar Health Full time

    Job SummaryMedStar Health is seeking a skilled Coding Specialist III to join our team. This role requires a strong background in medical coding, with a focus on orthopedics. The ideal candidate will have 5-7 years of experience in medical-professional coding and hold certifications such as CPC and COSC.Key Responsibilities Abstract and ensure accuracy of...


  • Baltimore, Maryland, United States MedStar Health Full time

    Job Summary:MedStar Health is seeking experienced Inpatient Medical Coders to join our team. As a Medical Coder, you will be responsible for coding and abstracting primarily Inpatient acute care records using ICD10CM/PCS and other applicable patient classification schemes.Key Responsibilities:Coding and abstracting Inpatient acute care recordsUsing...

  • Coding Specialist III

    1 month ago


    Baltimore, Maryland, United States Medstar Full time

    Job SummaryWe are seeking a highly skilled Coding Specialist III to join our team at MedStar Health. As a key member of our coding team, you will be responsible for ensuring that our medical-professional services are coded correctly and completely, based on extensive knowledge of regulatory and payer requirements.Key Responsibilities:Abstract and ensure...


  • Baltimore, Maryland, United States Contact Government Services, LLC Full time

    Job Title: Senior eDiscovery Technical AdvisorAbout the Role:CGS is seeking a dedicated Senior eDiscovery Technical Advisor to join a fast-paced and hard-working team to assist with legal accounts. As an eDiscovery Technical Advisor, you will play a key role in supporting various aspects of the company's portfolio.Key Responsibilities:• Identify, preserve,...


  • Baltimore, Maryland, United States BITHGROUP Technologies Inc Full time

    Company Overview:BITHGROUP Technologies Inc is a leading technology firm dedicated to delivering top-notch customer service and innovative solutions to businesses across the country.We are currently seeking a skilled Helpdesk Support Specialist to join our team and provide exceptional technical support to our clients.Job Summary:The Helpdesk Support...


  • Baltimore, Maryland, United States CareFirst BlueCross BlueShield Full time

    Job SummaryCareFirst BlueCross BlueShield is seeking a highly skilled Medical Coding Specialist to join our Special Investigations Unit. As a key member of our team, you will utilize your expertise in risk adjustment coding, ambulatory coding, and CRC coding to ensure accurate and compliant billing and code submissions.Key Responsibilities:Provide expert...


  • Baltimore, Maryland, United States CareFirst BlueCross BlueShield Full time

    Job SummaryCareFirst BlueCross BlueShield is seeking a skilled Medical Coding Specialist to join our Special Investigations Unit. As a key member of our team, you will play a critical role in ensuring reimbursement and medical policy guidelines are adhered to.Key ResponsibilitiesProvide expert knowledge to support effective guidance on the appropriate...


  • Baltimore, Maryland, United States Medasource Full time

    Job Title: Senior Clinical Cell Therapy SpecialistJob Summary:Medasource seeks highly skilled Senior Clinical Cell Therapy Specialists to assist in the performance of highly technical and complex cellular and immunotherapeutic procedures. This role requires significant experience and technical expertise to assist the Cell Therapy Laboratory...


  • Baltimore, Maryland, United States Booker DiMaio, LLC Full time

    Job Summary:We are seeking a highly skilled Senior Quality Assurance Specialist to join our team at Booker DiMaio, LLC. As a Senior Quality Assurance Specialist, you will be responsible for conducting quality review walkthroughs of business requirements documentation, acting as a senior Quality Assurance technical resource on project teams, and developing...


  • Baltimore, Maryland, United States Peraton Full time

    Job DescriptionJob Title: Senior Technical ManagerJob Summary: We are seeking a highly skilled Senior Technical Manager to lead our project teams in delivering complex technical solutions. The ideal candidate will have a strong background in project management, technical leadership, and team collaboration.Key Responsibilities:Develop project objectives by...


  • Baltimore, Maryland, United States Thales Trusted Cyber Technologies Full time

    Job Summary:Thales Trusted Cyber Technologies is seeking a highly skilled Senior Technical Support Engineer to join our team. As a key member of our support team, you will be responsible for providing technical leadership and guidance to our customer support team, while also serving as a customer interface concentrating on IT security, encryption, and key...


  • Baltimore, Maryland, United States TEKsystems Full time

    Job SummaryWe are seeking a skilled Technical Support Specialist to join our team at TEKsystems. As a Technical Support Specialist, you will be responsible for providing exceptional customer service and technical support to our clients. Your primary focus will be on resolving technical issues and providing assistance to end-users in a fast-paced...


  • Baltimore, Maryland, United States Quadrant Inc Full time

    Job Title: Certified Professional CoderJob Summary: We are seeking a skilled Certified Professional Coder to join our team at Quadrant Inc. As a key member of our coding team, you will be responsible for accurately coding medical procedures and diagnoses for our OBGYN department.Key Responsibilities: Experienced Certified Professional Coder with a strong...


  • Baltimore, Maryland, United States Omni Inclusive Full time

    Job SummaryOmni Inclusive is seeking a highly skilled Desktop Support Specialist to join our team. As a Desktop Support Specialist, you will be responsible for providing expert-level technical support for desktop computers, hardware, and software.Key ResponsibilitiesProvide technical support for desktop computers, hardware, and softwareDiagnose and resolve...


  • Baltimore, Maryland, United States TEKsystems Full time

    Job Summary:We are seeking a skilled Medical Coder to join our team at TEKsystems. As a Medical Coder, you will be responsible for coding procedures done within various departments, working with ICD10 codes, and making edits and corrections to payments as needed. You will also be speaking with insurance companies and clinics to determine proper codes and...