The Department of Anesthesiology, Production Unit Billing is seeking a Coding Specialist II to support and understand all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. Work closely with departmental management and coordinates with Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation.
Specific Duties and Responsibilities:
Responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines.
Works closely with Office of Billing Quality Assurance to include review of documentation.
Serves as departmental expert on coding questions.
Exercises independent judgment and decision making on a regular basis with respect to code selection.
Holds bills and seeks corrective action for services not meeting documentation requirements in accordance with CPA policies.
Researches and answers billing and documentation questions or problems submitted by faculty, department, billing staff, and others to ensure compliance with specific payer regulations and CPA policies and procedures.
Supports department compliance efforts through participation in department training and education programs relative to specific product lines in accordance with established policies.
Conducts feedback/training sessions for physicians to present the results of medical record documentation as warranted.
Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract.
Maintains a system of billing accuracy through encounter verification i.e., clinic schedules, encounter forms, I/P consults, medical records.
Review and resolve Epic Charge Review edits daily.
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.
Any other duties as assigned
Professional & Personal Development:
Participate in on-going educational activities.
Keep current of industry changes by reading assigned material on work related topics.
Complete three days of training annually.
Must adhere to Service Excellence Standards.
Continuous Performance Improvement
High School/GED required. Medical Terminology, Anatomy and Physiology courses or demonstrated appropriate knowledge. CPC Certification (or department approved certification).Three years coding experience with demonstrated analytical skills. Experience with Medicare regulations.Epic experience and understanding of third party payer issues preferred.
30 undergraduate or 18 graduate credits = 1 year experience. Additional education may not substitute for experience.
Experience coding Anesthesia preferred, but not required.
Understanding of third party payer issues.
Additional Knowledge, Skills, and Abilities:
Able to operate basic office equipment, e.g. photo copier, fax machine, scanner, PC, telephone, etc.
Technical Qualifications or Specialized Certifications:
Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
Working knowledge of JHU/ Epic Billing Applications.
Utilize online resources to facilitate efficient claims processing.
Capable of advance problem solving in medical billing and coding.
Sitting, standing and walking for extended period. Reaching by extending hand(s) or arm(s) in any direction. Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s). Ability to move about the work environment. Ability to lift 10lbs.
Classified Title: Coding Specialist II Role/Level/Range: ATO 40/E/02/OF Starting Salary Range: $19.82-$27.26/Hour ($41,226.00-$56,711.00); Commensurate with experience Employee Group: Full Time Schedule: Monday - Friday Exempt Status: Non-Exempt Location: School of Medicine, East Baltimore Campus Department Name: Anesthesiology, Production Unit Billing Personnel Area: School of Medicine
The successful candidate(s) for this position will be subject to a pre-employment background check.
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During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
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