Job Type: Coding Specialist from home
Location: Maryland work from home
Company: Johns Hopkins University

In the various department billing offices, we are looking for a Coding Specialist who will be in charge of diagnosis and CPT coding. Charges for diagnosis and CPT for input into the JHM and JHU/PBS billing programs will be reviewed or coded. An interface or manual fee entry for services rendered at JHM practice sites can be used to achieve this.

Responsibilities:

Knowledge of Procedures

• Collects and confirms all the data needed to generate a clean claim, including any unique billing practices that could be specified by a contract or payer.
• According to payer billing criteria and CPT code rules, suitably bundle
• Addresses differences between POS and CPT codes
• Check the E/M code type, level of service, and if the patient is new or established.
• In charge of upholding a system that verifies encounters, such as clinic scheduling, EPIC encounter data, I/P consultations, and medical records, in order to ensure billing accuracy.
• Respects payer policies.
• Uses LCD/NCD/payer policy information to adhere to restricting coverage requirements for diagnosis coding; it also assigns the proper modifiers in accordance with departmental policy.
• Carries out diagnosis coding with the maximum suitable degree of specificity
• Makes sure diagnosis codes are appropriate for each specialization by adhering to ICD-10 codes.
• Examine and decide Edited every day by EPIC Charge Review.
• Will conduct research as needed and reply to queries from doctors, patients (via SBO Account WQ), and coworkers regarding coding.
• Uses autonomous judgment when going about daily business.

Technical Expertise

• Thorough understanding of and adherence to HIPAA requirements regarding the sharing of patient protected health information (PHI).
• Working familiarity with PBS/JHU billing applications.
• Make use of online resources to expedite the processing of claims.
• Personal and Professional Growth:
• Engage in continuing education initiatives.
• Support the staff’s training.
• Stay up to date with changes in the industry by reading prescribed readings on issues relating to your job.
• Every year, finish the three days of training.

Excellence in Service

• Must follow the guidelines for service excellence.
• Client Communications
• Self-Control.
• Collaboration.
• Interactions.
• Ownership and Responsibility.
• Constant Enhancement of Performance.

Requirements:

Minimum Requirements

• High school diploma or GED; studies in anatomy and physiology; or proof of acceptable knowledge on medical terminology.
• Department-approved certification, often known as CPC certification.
• Six months of relevant experience in medical billing along with proof of analytical abilities. Epic experience. knowledge of third-party payer concerns.
• Experience may be replaced with further education to the degree that the JHU equivalence calculation allows it.

Optimal Qualifications

• Epic experience.
• Knowledge of third-party payer concerns.

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