Coding Specialist III Employer Johns Hopkins University Location Baltimore, Maryland, United States Salary Competitive Salary Date posted Mar 12, 2025 View more categories Johns Hopkins, founded in 1876, is America's first research university and home to nine world-class academic divisions working together as one university. 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. Works closely with departmental management and coordinates with Clinical Practice Association, 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. Responsible for developing coding and billing change procedures. Responsible for training on all coding and billing changes. Specific Duties & ResponsibilitiesProcedural 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. 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. Technical Knowledge 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. 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. Minimum Qualifications 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. Epic experience preferred.

Additional education may substitute for experience to the extent permitted by the JHU equivalency formula.

Classified Title:

Coding Specialist III

Role/Level/Range:

ATO 40/E/03/OG

Starting Salary Range:

$24.25 - $42.50 HRLY ($63,000 targeted; Commensurate w/exp.) Employee group: Full Time

Schedule:

Monday-Friday (8 hours)

FLSA Status:

Non-Exempt

Location:

Hybrid/JH at Middle River Department name: ​​​​​​​SOM Ane Production Unit Billing Personnel area: School of Medicine 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 protected]. 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. Equal Opportunity Employer

Note:

Job Postings are updated daily and remain online until filled. EEO is the Law Learn more: https://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf Important legal information http://hrnt.jhu.edu/legal.cfm