We are seeking a Coding Specialist who will be responsible for diagnosis and CPT coding within the various department billing offices. Will review or code charges for diagnosis and CPT for entry into the JHM and

JHU/ PBS

billing applications. This can be accomplished through an interface or manual charge entry for services performed at JHM practice sites.

Specific Duties & Responsibilities:

Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract.

Bundle appropriately for CPT and payer guidelines.

Verify the location of codes for appropriateness.

Verify provider type, i.e., level 1, 2, etc, according to visit and procedure.

Responsible for maintaining a system of billing accuracy through encounter verification, i.e., clinic schedules, encounter information in

EPIC, I/P

consults, and medical records.

Follows payer guidelines.

Follows limiting coverage guidelines for diagnosis coding by using LCD/NCD/payer policy information and assigns appropriate modifiers based on departmental policyCarries coding out to fourth or fifth digit as appropriate.

Follows ICD-10 codes to ensure diagnosis codes are appropriate for each specialty.

Review and resolve EPIC Charge Review edits daily.

May obtain correct NPI number and all needed information for Referring Doc Dictionary.

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.

Exercises independent judgment in daily activities.

Service Excellence:

Must adhere to Service Excellence Standards.

Customer RelationsSelf-ManagementTeamworkCommunicationsOwnership/AccountabilityContinuous Performance ImprovementMinimum QualificationsHigh School Diploma/GED. Medical Terminology, Anatomy, and Physiology courses or demonstrated appropriate knowledge. CPC Certification (or department approved certification).One year related experience in medical billing and demonstrated analytical skills. Epic experience. Understanding of third party payer issues.

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

Classified Title:

Coding Specialist Role/Level/Range:

ATO 40/E/02/OE

Starting Salary Range:

$18.20 - $33.90 HRLY ($54,000 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