Technical Coding Specialist

Johns Hopkins Medicine•Baltimore, MD

18h•$27 - $44•Remote

About The Position

You Belong Here ! Come see why the Johns Hopkins Hospital is a world-renowned leader in patient care, serving the greater Baltimore community and patients from all across the globe. Our friendly and knowledgeable staff teams provide support throughout our many specialty departments and centers, from primary visits to emergency care. What Awaits You? Career growth and development Diverse and collaborative working environment Affordable and comprehensive benefits package including Tuition Reimbursement The Technical Coding Specialist is responsible for anintermediate level of analyzing, reviewing and resolving billing denials for medical necessity or any other codingspecific facility specific denials. The Specialist will review medical record documentation to assure services arebilled with the appropriate diagnosis and procedures, will assign the appropriate ICD-10, CPT, and HCPCS codeas documented for accurate claim submission to bill appropriately for all services provided. The Technical Coding Specialist will serve as an intermediate level resource for the Patient Financial Services department to assistwith coding guidance. As appropriate, may assign billing modifiers to assure correct reimbursement. In aneffort to optimize reimbursement and reduce denials, the Technical Coding Specialist will communicate findings and provide the necessary education for clinical departments and business office staff on coding and billing guidelines. Hours : Full time (40 hours) Day Shift, Weekdays Location : Remote Our organization is registered for remote work in the following states: MD, VA, DC, FL, PA, and DE. To be considered for a remote or hybrid position, relocation is required to one of the registered states if not currently residing in one.

Requirements

Associates Degree preferred. Additional experience may be substituted.
Certification in Coding: CPC, CCS or COC or Health care-related licensure or certification in nursing, or other clinically related fields
3-5 years of experience in outpatient coding.
Requires comprehensive knowledge of current regulatory requirements related to Medicare and Medicaid billing including coding and documentation standards and guidelines.
Requires current and continued knowledge a comprehensive understanding of insurance claim filing and billing principles.
Requires advanced current and continued knowledge of ICD-10, CPT and HCPCS and coding terminology as it relates o facility billing.

Nice To Haves

Familiarity with the Maryland regulatory environment is preferred.

Responsibilities

Analyzing, reviewing and resolving billing denials for medical necessity or any other coding specific facility specific denials.
Review medical record documentation to assure services are billed with the appropriate diagnosis and procedures
Assign the appropriate ICD-10, CPT, and HCPCS code as documented for accurate claim submission to bill appropriately for all services provided.
Serve as an intermediate level resource for the Patient Financial Services department to assist with coding guidance.
Assign billing modifiers to assure correct reimbursement.
Communicate findings and provide the necessary education for clinical departments and business office staff on coding and billing guidelines.