Medical Coding Specialist

Intrastaff•Middle river, MD
•Remote

About The Position

Johns Hopkins Intrastaff, the internal staffing agency for the Johns Hopkins Health System and partner hospitals, is hiring a Medical Coding Specialist to provide professional fee coding in a physician-based environment. The role supports Radiology, Oncology, or Anesthesia/Pain departments and may be listed under other common industry titles, including Physician Coding Specialist, Clinical Coding Specialist, Medical Coder, or Coding Specialist; responsibilities and requirements are identical regardless of title. The specialist assigns diagnosis and procedure codes to professional billing encounters using medical record documentation and applicable coding guidelines. The work includes CPT, ICD-10-CM, and applicable HCPCS coding, Evaluation & Management (E/M) leveling, physician documentation review, and support for accurate, compliant coding and appropriate reimbursement. The role reviews moderately complex cases and coding-related claim issues, resolves routine and moderately complex discrepancies, collaborates with providers and clinical staff to clarify documentation, and participates in coding quality assurance activities. The position is 100% remote. The department provides equipment, and in-home internet is required. Candidates must have permanent residence in Maryland, Pennsylvania, Virginia, Delaware, Washington D.C., or Florida. The schedule is Monday through Friday, either 8:00 a.m.–4:30 p.m. or 8:30 a.m.–5:00 p.m. The pay range is $26–$30 per hour.

Requirements

  • Minimum of a bachelor's degree in HIM, Medical Coding, or a related field; alternatively, a high school diploma or GED and two years of medical coding work experience may substitute for the bachelor's degree.
  • Required certification: CPC (AAPC Certified Professional Coder), CCA (Certified Coding Associate), or CCS-P (Certified Coding Specialist – Physician).
  • Coding experience in Radiology, Oncology, or Anesthesia/Pain Management; experience in one or more of these specialties is considered.
  • Knowledge of Medicare, Medicaid, and commercial payer policies, including coding compliance standards and regulatory requirements.
  • Demonstrated knowledge of CPT and HCPCS coding systems, medical terminology, anatomy and physiology, and professional billing coding guidelines.
  • Demonstrated knowledge of ICD-10.
  • Experience using coding and revenue cycle systems to review work queues, resolve coding edits, and support accurate claim submission.
  • Permanent residence in Maryland, Pennsylvania, Virginia, Delaware, Washington D.C., or Florida.
  • In-home internet access is required.

Responsibilities

  • Assign diagnosis and procedure codes to professional billing encounters based on medical record documentation and applicable coding guidelines.
  • Review and code moderately complex cases, including encounters with multiple diagnoses, comorbid conditions, or complex documentation scenarios.
  • Use revenue cycle and coding systems to review assigned work queues, identify coding-related claim issues, and independently resolve routine and moderately complex discrepancies.
  • Collaborate with providers and clinical staff to clarify documentation and improve its quality and completeness for accurate coding and billing.
  • Participate in coding quality assurance activities.
  • Ensure compliance with federal, state, payer, and organizational coding guidelines while maintaining productivity and quality standards.
  • Perform professional fee coding involving CPT, ICD-10-CM, applicable HCPCS, E/M leveling, and physician documentation review.

Benefits

  • Department-provided equipment
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