Senior Technical Coding Specialist
4 weeks ago
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.
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