Coding Specialist II

Johns Hopkins Medicine•Baltimore, MD

1d•$22 - $36•Remote

About The Position

Under the supervision of the Coding Supervisor, ED, OP Surgery & Observation, the Coding Specialist II analyzes and interprets clinical documentation to accurately code and abstract data for all hospital facility outpatient records (Emergency Department, Ambulatory Surgery, Observation, Interventional Radiollogy,Clinic/Diagnostic) and/or Ambulatory Surgical Center (ASC) records for all JHHS entities. The Coding Specialist II will review medical record documentation to assure services are billed with the appropriate diagnosis and procedures, will assign the appropriate ICD-10 diagnosis, CPT and HCPCS procedure codes as documented for accurate claim submission, as well as assign appropriate modifiers to bill appropriately for all services provided. The Coding Specialist II will also be responsible for using revenue management software to identify and resolve coding and claim edits. Utilizing a computerized encoder and multiple databases, abstracts data from clinical documentation in the electronic health record and assigns classification codes in accordance with Federal, State, and organizational guidelines. The CS II is also responsible for reviewing edits in Epic which includes an understanding of HSCRC guidelines and correct coding and applying those rules to ensure claims are billed appropriately. When coding ASC accounts, the CS II also requires working with departments in the hospital and health system to identify missing charges and charges billed in error. Queries physicians as needed, clarifying documentation to ensure accurate code assignment, and support all uses of coded data. Organizes and prioritizes work to meet deadlines and goals. Maintains and expands knowledge of coding and sequencing guidelines to ensure compliance and accuracy. The Coding Specialist II works as a team member and positively accepts change throughout the Health System while establishing relationships at all facilities as needed. While this is a remote position, employees are required to work in the states where our organization is registered. Registered Remote Locations: Maryland, Virginia, Washington DC, Florida, Pennsylvania, and Delaware.

Requirements

High school diploma or GED required.
Active approved coding credential from AAPC or AHIMA upon hire. For internal JHHS candidate an active coding credential from AAPC or AHIMA, or must obtain credential within 9 months of hire.
Successful completion of Outpatient Coding Specialist II diagnosis and CPT coding pre-employment assessment upon hire.
Three (3)years coding experience for hospital facility and/or Ambulatory Surgery Centers. For internal JHHS candidate years of experience requirement is at the discretion of coding leadership.

Nice To Haves

Associates or higher degree in health information management or healthcare related field preferred.

Responsibilities

Analyzes and interprets clinical documentation to accurately code and abstract data for all hospital facility outpatient records and/or Ambulatory Surgical Center (ASC) records for all JHHS entities.
Reviews medical record documentation to assure services are billed with the appropriate diagnosis and procedures
Assigns the appropriate ICD-10 diagnosis, CPT and HCPCS procedure codes as documented for accurate claim submission, as well as assign appropriate modifiers to bill appropriately for all services provided.
Responsible for using revenue management software to identify and resolve coding and claim edits.
Utilizing a computerized encoder and multiple databases, abstracts data from clinical documentation in the electronic health record and assigns classification codes in accordance with Federal, State, and organizational guidelines.
Responsible for reviewing edits in Epic which includes an understanding of HSCRC guidelines and correct coding and applying those rules to ensure claims are billed appropriately.
When coding ASC accounts, the CS II also requires working with departments in the hospital and health system to identify missing charges and charges billed in error.
Queries physicians as needed, clarifying documentation to ensure accurate code assignment, and support all uses of coded data.
Organizes and prioritizes work to meet deadlines and goals.
Maintains and expands knowledge of coding and sequencing guidelines to ensure compliance and accuracy.
Works as a team member and positively accepts change throughout the Health System while establishing relationships at all facilities as needed.