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Coding Specialist II
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Inside Higher Ed . We are seeking a Coding Specialist II who will be responsible for all aspects of coding, quality assurance, and compliance with Federal payer documentation guidelines. This role works closely with department management and coordinates with the Office of Billing Quality Assurance to include review of documentation. It includes coordinating multi-faceted clinical/research billing to ensure a smoothly functioning billing operation and good patient relations. This position requires in-depth knowledge of the EPIC Professional billing systems. Activities include obtaining and verifying financial and insurance information prior to time of service, and extensive knowledge of insurance contracts, medical terminology and coding. The role may involve administrative tasks such as special projects, billing and collections reporting, procurements, accounts payable and researching patients\' financial obligations, and performing related activities. The position exercises independent judgment and decision making on a regular basis. It may also support office services for processing accounts payable transactions and perform basic monthly reconciliation of accounts, monitor and complete purchases, and enter basic financial data into university systems. Responsibilities
Responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. Work closely with the Office of Billing Quality Assurance to review documentation. Serve as departmental expert on coding questions. Exercise independent judgment and decision making on a regular basis with respect to code selection. Hold bills and seek corrective action for services not meeting documentation requirements in accordance with CPA policies. Research and answer billing and documentation questions or problems submitted by faculty, department, billing staff, and others to ensure compliance with payer regulations and CPA policies. Support department compliance through participation in training and education programs related to specific product lines. Conduct feedback/training sessions for physicians on medical record documentation as warranted. Gather and verify information required to produce a clean claim, including special billing procedures defined by a payer or contract. Maintain a system of billing accuracy through encounter verification (clinic schedules, encounter forms, IP/consults, medical records). Review and resolve Epic Charge Review edits daily; may act as a backup to Charge Entry when needed. Review patient charges, extract chargeable items, troubleshoot codes and insurance information on charge capture encounters before submission to insurers. Collaborate with Coding Specialist III at Green Spring\'s Medical Oncology for coverage. Maintain related databases and support record-keeping as needed. Minimum Qualifications
High School Diploma or equivalent. Medical Terminology, Anatomy and Physiology knowledge or demonstrated appropriate knowledge. CPC Certification (or department approved certification). Three years coding experience with demonstrated analytical skills. Experience with Medicare regulations. Equivalency: Additional education may substitute for required experience, and additional related experience may substitute for required education per the JHU equivalency formula. Classified Title: Coding Specialist II Job Posting Title (Working Title): Coding Specialist II Role/Level/Range: ATO 40/E/02/OF Starting Salary Range: $21.25 - $36.90 HRLY ($27.26/hour targeted; Commensurate w/exp.) Employee group: Full Time Schedule: Mon - Fri / 9-5:30p FLSA Status: Non-Exempt Location: Hybrid: On-site 3-4 days a week Department: SOM Onc Oncology Professional Fees Location: School of Medicine Total Rewards and other policy notes are provided in the institution\'s benefits and equal opportunity disclosures. See your recruiter for details and refer to Johns Hopkins University\'s official pages for benefits, EEOC rights, accommodations, vaccine information, and background checks as applicable.
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Coding Specialist II
role at
Inside Higher Ed . We are seeking a Coding Specialist II who will be responsible for all aspects of coding, quality assurance, and compliance with Federal payer documentation guidelines. This role works closely with department management and coordinates with the Office of Billing Quality Assurance to include review of documentation. It includes coordinating multi-faceted clinical/research billing to ensure a smoothly functioning billing operation and good patient relations. This position requires in-depth knowledge of the EPIC Professional billing systems. Activities include obtaining and verifying financial and insurance information prior to time of service, and extensive knowledge of insurance contracts, medical terminology and coding. The role may involve administrative tasks such as special projects, billing and collections reporting, procurements, accounts payable and researching patients\' financial obligations, and performing related activities. The position exercises independent judgment and decision making on a regular basis. It may also support office services for processing accounts payable transactions and perform basic monthly reconciliation of accounts, monitor and complete purchases, and enter basic financial data into university systems. Responsibilities
Responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. Work closely with the Office of Billing Quality Assurance to review documentation. Serve as departmental expert on coding questions. Exercise independent judgment and decision making on a regular basis with respect to code selection. Hold bills and seek corrective action for services not meeting documentation requirements in accordance with CPA policies. Research and answer billing and documentation questions or problems submitted by faculty, department, billing staff, and others to ensure compliance with payer regulations and CPA policies. Support department compliance through participation in training and education programs related to specific product lines. Conduct feedback/training sessions for physicians on medical record documentation as warranted. Gather and verify information required to produce a clean claim, including special billing procedures defined by a payer or contract. Maintain a system of billing accuracy through encounter verification (clinic schedules, encounter forms, IP/consults, medical records). Review and resolve Epic Charge Review edits daily; may act as a backup to Charge Entry when needed. Review patient charges, extract chargeable items, troubleshoot codes and insurance information on charge capture encounters before submission to insurers. Collaborate with Coding Specialist III at Green Spring\'s Medical Oncology for coverage. Maintain related databases and support record-keeping as needed. Minimum Qualifications
High School Diploma or equivalent. Medical Terminology, Anatomy and Physiology knowledge or demonstrated appropriate knowledge. CPC Certification (or department approved certification). Three years coding experience with demonstrated analytical skills. Experience with Medicare regulations. Equivalency: Additional education may substitute for required experience, and additional related experience may substitute for required education per the JHU equivalency formula. Classified Title: Coding Specialist II Job Posting Title (Working Title): Coding Specialist II Role/Level/Range: ATO 40/E/02/OF Starting Salary Range: $21.25 - $36.90 HRLY ($27.26/hour targeted; Commensurate w/exp.) Employee group: Full Time Schedule: Mon - Fri / 9-5:30p FLSA Status: Non-Exempt Location: Hybrid: On-site 3-4 days a week Department: SOM Onc Oncology Professional Fees Location: School of Medicine Total Rewards and other policy notes are provided in the institution\'s benefits and equal opportunity disclosures. See your recruiter for details and refer to Johns Hopkins University\'s official pages for benefits, EEOC rights, accommodations, vaccine information, and background checks as applicable.
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