Coding Specialist III

Job Overview

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We are seeking a Coding Specialist III who will be responsible for all aspects of coding, quality assurance, and compliance with Federal payer documentation guidelines. The role works closely with departmental management and coordinates with Clinical Practice Association and Office of Billing Quality Assurance to review documentation. The specialist serves as the departmental expert on coding questions, exercises independent judgment and decision making on a regular basis, and develops coding and billing change procedures and training.

• 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.
• Pro Fee Tracking Database
  - May fill out missing information form and forward to the appropriate contact person.
• Works with Department Management to create Charge Review Rules to prevent unnecessary denials.
• Works with Department Management on maintenance of provider preference lists.
• Provides training on all coding changes to providers and staff. Develops presentations to effectively communicate how changes will affect provider billing and coding. Provide face to face training on changes to providers based at all Hopkins locations.

• High School Diploma/GED. Medical Terminology, Anatomy and Physiology courses required or demonstrated appropriate knowledge.
• CPC certification. Specialty CPC certification or second AAPC certification.
• Five years coding experience with demonstrated analytical skills.
• Experience with Medicare regulations.
• Understanding of third-party payer issues.
• Additional education may substitute for required experience and additional related experience may substitute for required education beyond HS Diploma/Graduation Equivalent, to the extent permitted by the JHU equivalency formula.

• Epic experience preferred

• Classified
  
  Title:
  
  Coding Specialist III
• Role/Level/Range: ATO 40/E/03/OG
• Starting Salary Range: $24.25 - $42.50 HRLY ($30.29/hour targeted; Commensurate w/exp.)
• Employee group:
  Full Time
• Schedule:
  
  Monday-Friday (8 hours)
• FLSA Status:
  Non-Exempt
• Location:
  
  JH at Middle River
• Department name: SOM Ane Production Unit Billing
• Personnel area:
  School of Medicine

The referenced base salary range represents the low and high end of Johns Hopkins University's salary range for this position. Not all candidates will be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, education/training and other qualifications. Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement.

More information can be found here: .

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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