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Coding Specialist II

Johns Hopkins University
United States, Maryland, Middle River
Oct 08, 2023

Coding Specialist II
We are seeking a Coding Specialist II who will be responsible for understanding all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines for the Department of Orthopedic Surgery. Works closely with departmental management and coordinates with Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation.

Specific Duties & Responsibilities

Procedural Knowledge
  • 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 back up to Charge Entry when needed.
  • Pro Fee Tracking Database - May fill out missing information form and forward to the appropriate contact person.

Technical Knowledge
  • Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
  • Working knowledge of JHU/ Epic Billing Applications.
  • Utilize online resources to facilitate efficient claims processing.
  • Capable of advance problem solving in medical billing and coding.

Professional & Personal Development
  • Participate in on-going educational activities.
  • Keep current of industry changes by reading assigned material on work related topics.
  • Complete three days of training annually.
  • Department Specific Responsibilities: None
  • Service Excellence (Must adhere to Service Excellence Standards)
  • Customer Relations.
  • Self-Management.
  • Teamwork.
  • Communications.
  • Ownership/Accountability.
  • Continuous Performance Improvement.

Minimum Qualifications
  • High School Diploma/GED required.
  • Medical Terminology, Anatomy and Physiology courses or demonstrated appropriate knowledge.
  • CPC Certification(or department approved certification).
  • Three years coding experience with demonstrated analytical skills.
  • Experience with Medicare regulations.
  • Epic experience and understanding of third party payer issues

Preferred Qualifications

Classified Title: Coding Specialist II
Role/Level/Range: ATO 40/E/02/OF
Starting Hourly Pay Rate Range: $20.40-$28.00-$35.70 HRLY (Commensurate with experience)
Employee group: Full Time
Schedule: Monday - Friday 8:30 Am - 5 PM
Exempt Status: Non-Exempt
Location: Remote
Department name: SOM Ortho Production Unit Billing
Personnel area: School of Medicine

Total Rewards
The referenced salary range is based on Johns Hopkins University's good faith belief at the time of posting. Actual compensation may vary based on factors such as geographic location, work experience, market conditions, education/training and skill level. Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: https://hr.jhu.edu/benefits-worklife/

Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:

JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.

**Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.

The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate's conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.

The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, the JHU Roadmap on Diversity and Inclusion.

Equal Opportunity Employer

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.

EEO is the Law
Learn more:

Accommodation Information

If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the Talent Acquisition Office at jhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit accessibility.jhu.edu.

Johns Hopkins has mandated COVID-19 and influenza vaccines, as applicable. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry. For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/ and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/.

The following additional provisions may apply, depending on campus. Your recruiter will advise accordingly.

The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.

Note: Job Postings are updated daily and remain online until filled.

To apply, visit https://jobs.jhu.edu/job/Coding-Specialist-II/991320700/