Classified Title: Coding Specialist
Role/Level/Range: ATO 40/E/02/OG
Starting Salary Range: $21.93-$30.18
Employee group: Full Time
Schedule: Mon-Fri 40 hrs
Exempt Status: Salaried Non-exmt
Location: 04-MD:School of Medicine Campus
Department name: 10003404-SOM Ane Production Unit Billing
Personnel area: School of Medicine
Responsible for providing reports and reconciliation assistance to Sr. Administrative Manager, education to faculty at multiple locations as needed and coding reviews to Clinical Practice Association. Works closely with departmental management and coordinates with the Sr. Administrative Manager and Clinical Practice Association to include review of documentation, coding accuracy and providing timely reporting. Exercises independent judgment and decision making on a regular basis. Responsible for training on all coding and billing changes.
- Responsible for understanding coding, quality assurance and compliance regulations with Federal payer documentation guidelines.
- Works closely with Sr. Administrative Manager to include review of documentation.
- Serves as an expert on coding questions.
- Exercises independent judgment and decision making on a regular basis with respect to code selection.
- Alerts Production Unit Managers needing 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.
- May be used to review and resolve Epic Charge Review Edits daily.
- 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.
Professional & Personal Development:
- Participate in on-going educational activities.
- Assist in the training of staff, providers, management and administration.
- Keep current of industry changes by reading assigned material on work related topics and provide updates to providers, staff, management and administration
- Complete three days of training annually.
- High School Diploma or GED.
- Medical Terminology, Anatomy and Physiology courses required or demonstrated appropriate knowledge.
- CPC certification – AAPC or AHIMA credentials accepted
- Sub specialty coding certification or second AAPC certification in the departmental area of expertise.
- Minimum five (5) years coding experience with demonstrated analytical skills.
- Experience with Medicare regulations.
- Understanding of third party payer issues.
- Excellent written and oral communication skills with the ability to communicate effectively with clinic staff, providers, bill staff, management and administration.
- Epic EMR experience necessary.
Technical qualifications or specialized certifications:
- Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
- Working knowledge of JHU/ PBS Billing Applications.
- Utilize online resources to facilitate efficient claims processing.
- Capable of advance problem solving in medical billing and coding.
The successful candidate(s) for this position will be subject to a pre-employment background check.
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 HR Business Services Office at email@example.com. For TTY users, call via Maryland Relay or dial 711.
The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.
During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
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.
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