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Most recent job postings at codingal
via Virtual Vocations
posted_at: 7 days agoschedule_type: Full-timework_from_home: 1
A company is looking for a Coding Denial Specialist.
Key Responsibilities...
• Review coding denials across multiple specialties
• Determine root cause and resolve/appeal denials based on clinical documentation
• Ensure compliance with Federal & State Coding regulations
Required Qualifications:
• High School diploma and 1-3 years of relevant experience
• Minimum 3 years physician coding experience
• Minimum 1 year physician coding denial
A company is looking for a Coding Denial Specialist.
Key Responsibilities...
• Review coding denials across multiple specialties
• Determine root cause and resolve/appeal denials based on clinical documentation
• Ensure compliance with Federal & State Coding regulations
Required Qualifications:
• High School diploma and 1-3 years of relevant experience
• Minimum 3 years physician coding experience
• Minimum 1 year physician coding denial management experience
• CPC certification from AAPC
• Strong working knowledge of coding guidelines and regulations Show more details...
Key Responsibilities...
• Review coding denials across multiple specialties
• Determine root cause and resolve/appeal denials based on clinical documentation
• Ensure compliance with Federal & State Coding regulations
Required Qualifications:
• High School diploma and 1-3 years of relevant experience
• Minimum 3 years physician coding experience
• Minimum 1 year physician coding denial management experience
• CPC certification from AAPC
• Strong working knowledge of coding guidelines and regulations Show more details...
via Glassdoor
posted_at: 7 days agoschedule_type: Full-timework_from_home: 1
AdventHealth Corporate
All the benefits and perks you need for you and your family...
· Benefits from Day One
· Career Development
· Whole Person Wellbeing Resources
· Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is
AdventHealth Corporate
All the benefits and perks you need for you and your family...
· Benefits from Day One
· Career Development
· Whole Person Wellbeing Resources
· Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Shift : Monday-Friday
Job Location : Remote
The role you’ll contribute:
The Coder Analyst IV is a Health Information Professional with a high level of coding and clinical proficiency necessary for the oversight of coding integrity, and ability to function as a liaison to the Quality and Clinical Documentation Improvement teams for the Multi-State Division
The value you’ll bring to the team:
· May perform pre-bill mortality review
· Perform Iodine Retrospect reviews in conjunction with the CDI team
· Ensures all coding conventions, coding guidelines, coding clinics and regulatory advice are followed
· Functions as a liaison between coding and CDI when a coding team member escalates an account for review and final DRG decision
KNOWLEDGE AND EXPERIENCE STRONGLY PREFERRED:
•Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrate excellent physician relations.
•Able to organize and present information clearly and concisely; excellent computer and keyboarding skills; ability to use multiple software programs simultaneously; high degree of prioritization skills.
•High level of expertise as a coding professional.
•Dependable, self-motivated and pleasant
•Utilize and demonstrate excellent critical-thinking, problem-solving and deductive-reasoning skills •Knowledge and expertise in Coding Guidelines and Coding Clinic.
•Knowledge of pathophysiology, disease processes and treatments
•Knowledge of regulatory environment
•Strong ability to organize/triage work and manage multiple priorities at once with little supervision. •Possesses knowledge about risk adjustment and hospital publicly reported data.
•Possesses knowledge about patient safety indicators, SOI/ROM, and the importance of hospital publicly reported data, value based purchasing, and how coding impacts these measures.
Qualifications
The expertise and experiences you’ll need to succeed:
· High school diploma and medical coding certificate program or 2 year HIM program.
· 3 years of experience in an acute care inpatient coding position
· CPC or CPC-P, or CCS or RHIA or RHIT with required years of experience
LICENSURE, CERTIFICATION OR REGISTRATION:
Please be advised that all licenses and certifications listed are not required. If you only have one or some of those listed, you may still be eligible for this position.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Job Type: Full-time
Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance
Schedule:
• 8 hour shift
• Monday to Friday
Work setting:
• Office
• Remote
Work Location: Remote Show more details...
All the benefits and perks you need for you and your family...
· Benefits from Day One
· Career Development
· Whole Person Wellbeing Resources
· Mental Health Resources and Support
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Shift : Monday-Friday
Job Location : Remote
The role you’ll contribute:
The Coder Analyst IV is a Health Information Professional with a high level of coding and clinical proficiency necessary for the oversight of coding integrity, and ability to function as a liaison to the Quality and Clinical Documentation Improvement teams for the Multi-State Division
The value you’ll bring to the team:
· May perform pre-bill mortality review
· Perform Iodine Retrospect reviews in conjunction with the CDI team
· Ensures all coding conventions, coding guidelines, coding clinics and regulatory advice are followed
· Functions as a liaison between coding and CDI when a coding team member escalates an account for review and final DRG decision
KNOWLEDGE AND EXPERIENCE STRONGLY PREFERRED:
•Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrate excellent physician relations.
•Able to organize and present information clearly and concisely; excellent computer and keyboarding skills; ability to use multiple software programs simultaneously; high degree of prioritization skills.
•High level of expertise as a coding professional.
•Dependable, self-motivated and pleasant
•Utilize and demonstrate excellent critical-thinking, problem-solving and deductive-reasoning skills •Knowledge and expertise in Coding Guidelines and Coding Clinic.
•Knowledge of pathophysiology, disease processes and treatments
•Knowledge of regulatory environment
•Strong ability to organize/triage work and manage multiple priorities at once with little supervision. •Possesses knowledge about risk adjustment and hospital publicly reported data.
•Possesses knowledge about patient safety indicators, SOI/ROM, and the importance of hospital publicly reported data, value based purchasing, and how coding impacts these measures.
Qualifications
The expertise and experiences you’ll need to succeed:
· High school diploma and medical coding certificate program or 2 year HIM program.
· 3 years of experience in an acute care inpatient coding position
· CPC or CPC-P, or CCS or RHIA or RHIT with required years of experience
LICENSURE, CERTIFICATION OR REGISTRATION:
Please be advised that all licenses and certifications listed are not required. If you only have one or some of those listed, you may still be eligible for this position.
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Job Type: Full-time
Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance
Schedule:
• 8 hour shift
• Monday to Friday
Work setting:
• Office
• Remote
Work Location: Remote Show more details...
via Virtual Vocations
posted_at: 19 days agoschedule_type: Full-timework_from_home: 1
A company is looking for a Remote Coding Specialist, Inpatient - Facility Coding.
Key Responsibilities...
• Provide remote medical records coding and abstracting services to clients nationwide
• Work remotely from a home office
• Utilize top coding facility Inpatient acute care skills
Required Qualifications:
• Hold one of the following credentials: RHIA, RHIT, CCS, CCS-P, CPC, COC, or CIC
• Have at least 1 year of coding experience in
A company is looking for a Remote Coding Specialist, Inpatient - Facility Coding.
Key Responsibilities...
• Provide remote medical records coding and abstracting services to clients nationwide
• Work remotely from a home office
• Utilize top coding facility Inpatient acute care skills
Required Qualifications:
• Hold one of the following credentials: RHIA, RHIT, CCS, CCS-P, CPC, COC, or CIC
• Have at least 1 year of coding experience in facility Inpatient coding
• Demonstrate proficiency in EMR, multiple encoders, and abstracting systems
• Possess the ability to work from home using high-speed internet Show more details...
Key Responsibilities...
• Provide remote medical records coding and abstracting services to clients nationwide
• Work remotely from a home office
• Utilize top coding facility Inpatient acute care skills
Required Qualifications:
• Hold one of the following credentials: RHIA, RHIT, CCS, CCS-P, CPC, COC, or CIC
• Have at least 1 year of coding experience in facility Inpatient coding
• Demonstrate proficiency in EMR, multiple encoders, and abstracting systems
• Possess the ability to work from home using high-speed internet Show more details...
via Virtual Vocations
posted_at: 15 days agoschedule_type: Full-timework_from_home: 1
A company is looking for a Coding Trainer I.
Key Responsibilities...
• Train on medical coding processes, policies and compliance related items
• Conduct needs analyses to determine specific training needs for department staff
• Assist in auditing work performed by staff and present findings and recommendations for areas of improvement to management
Required Qualifications:
• Bachelor's degree in related field or equivalent experience
•
A company is looking for a Coding Trainer I.
Key Responsibilities...
• Train on medical coding processes, policies and compliance related items
• Conduct needs analyses to determine specific training needs for department staff
• Assist in auditing work performed by staff and present findings and recommendations for areas of improvement to management
Required Qualifications:
• Bachelor's degree in related field or equivalent experience
• 2+ years of training experience, preferably in a managed care or healthcare environment working with claims
• Certified Professional Coder highly preferred Show more details...
Key Responsibilities...
• Train on medical coding processes, policies and compliance related items
• Conduct needs analyses to determine specific training needs for department staff
• Assist in auditing work performed by staff and present findings and recommendations for areas of improvement to management
Required Qualifications:
• Bachelor's degree in related field or equivalent experience
• 2+ years of training experience, preferably in a managed care or healthcare environment working with claims
• Certified Professional Coder highly preferred Show more details...
via ECU Health - Careers
schedule_type: Full-time
ECU Health
About ECU Health...
ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health
ECU Health
About ECU Health...
ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children’s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.
Position Summary
The Coding Educator is responsible for the creation and maintenance of education, training and remediation programs that will ensure success for all Coding Specialists based on their specific needs and support accurate, compliant coding practices for ECU Health in accordance with coding guidelines. This position will report to the Coding Manager. This position will be accountable for developing and maintaining a culture of service, compliance, and integrity in the coding department and ECU Health.
Responsibilities
1.General Coding Education:
Develop focused educational materials, presentations, training classes, new hire orientation, etc. based on the coding department's needs as outlined by coding leadership.
Ensures training programs are evaluated, modified and implemented to address updates and changes in coding and reimbursements laws, regulations, and guidelines.
Work with Coding leadership to identify areas of opportunity for focused education topics and determine best method of delivery (i.e. newsletter, distance education webinars, etc.).
Research and prepare education materials related to quarterly/annual/as needed updates to Coding Clinic, CPT, ICD-10 coding and present to coding team.
Serve as a resource for education to other departments or areas in the organization to provide and share opportunities for expanded learning in relation to Coding and ICD-10.
2.New Hire Training:
Responsible for training new coding team members in the various computer systems used for coding purposes.
Prepare the necessary paperwork to allow the coding team member initial access to appropriate systems, as well as the formal training in the various systems.
Prepare and monitor a standard training schedule for each new coding team member that will facilitate learning, progression and successful mastery of each area of coding.
Responsible for tracking the progress of each new coding team member throughout the onboarding and training period. Will monitor progression and success within the training plan.
Ensure that all new coding team members are adhering to the predefined training schedule, also developed by the educator.
Will provide ongoing reports to coding leadership as to the progress of the new coding team members through the training plan.
Will evaluate and take action on any identified areas in which team members are not progressing at the expected rate in the education track or display lack of understanding of training material.
3.Coder Remediation:
Responsible for the remediation of any coding team member who consistently falls below expected performance levels.
Select and review charts in the area that the coding team member has been found deficient. Assist the team member with building a stronger knowledge base, through intense review of available resources, to ensure their success.
Responsible for tracking the progress of each coding team member throughout the remediation period. Will monitor progression and success within the remediation plan.
Ensure that all coding team members receiving remediation are adhering to the predefined training schedule, also developed by the educator.
Will provide ongoing reports to coding leadership as to the progress of the coding team members through the remediation plan.
Will evaluate and take action on any identified areas in which team members are not progressing at the expected rate in the education track or display lack of understanding of training material.
4. Education of Students
Coordinate educational experience relating to coding for 2-year and 4-year Health Information students.
Minimum Requirements
Associates degree in Health Information Technology required- or higher.
RHIA or RHIT credential required.
Credentialed Coding Specialist (CCS) preferred
5 - 7 years experience in acute care, inpatient coding experience required.
Knowledge, Skills & Abilities required: (i.e. supervision, computers, etc.)
Demonstrated ability to manage, teach, make independent decisions and assume responsibility
Strong interpersonal communication skills, verbal and written
Ability to communicate and work effectively with all levels of staff
Working knowledge and experience with PC-based applications, i.e. Word, Excel, PowerPoint, Publisher, Outlook
Futuristic approach to the development of programs/systems that support continuous quality improvement and Mission, Vision, and Values
Ability to function as a leader, team member and execute the desired outcomes
Must exhibit creative, positive problem-solving abilities
Ability to plan, organize and effectively present ideas and concepts to groups
Ability to think conceptually and apply concepts in a practical application
Ability to assimilate information from a variety of sources, analyze information, and determine a course of action
Commitment to a high standard of customer service
Prior adult education/teaching experience preferred.
General Statement
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
Contact Information
For additional information, please contact:
Angie Nichols, Talent Acquisition Consultant
ECU Health Talent Acquisition
Email: Angie.Nichols@ecuhealth.org Show more details...
About ECU Health...
ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children’s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.
Position Summary
The Coding Educator is responsible for the creation and maintenance of education, training and remediation programs that will ensure success for all Coding Specialists based on their specific needs and support accurate, compliant coding practices for ECU Health in accordance with coding guidelines. This position will report to the Coding Manager. This position will be accountable for developing and maintaining a culture of service, compliance, and integrity in the coding department and ECU Health.
Responsibilities
1.General Coding Education:
Develop focused educational materials, presentations, training classes, new hire orientation, etc. based on the coding department's needs as outlined by coding leadership.
Ensures training programs are evaluated, modified and implemented to address updates and changes in coding and reimbursements laws, regulations, and guidelines.
Work with Coding leadership to identify areas of opportunity for focused education topics and determine best method of delivery (i.e. newsletter, distance education webinars, etc.).
Research and prepare education materials related to quarterly/annual/as needed updates to Coding Clinic, CPT, ICD-10 coding and present to coding team.
Serve as a resource for education to other departments or areas in the organization to provide and share opportunities for expanded learning in relation to Coding and ICD-10.
2.New Hire Training:
Responsible for training new coding team members in the various computer systems used for coding purposes.
Prepare the necessary paperwork to allow the coding team member initial access to appropriate systems, as well as the formal training in the various systems.
Prepare and monitor a standard training schedule for each new coding team member that will facilitate learning, progression and successful mastery of each area of coding.
Responsible for tracking the progress of each new coding team member throughout the onboarding and training period. Will monitor progression and success within the training plan.
Ensure that all new coding team members are adhering to the predefined training schedule, also developed by the educator.
Will provide ongoing reports to coding leadership as to the progress of the new coding team members through the training plan.
Will evaluate and take action on any identified areas in which team members are not progressing at the expected rate in the education track or display lack of understanding of training material.
3.Coder Remediation:
Responsible for the remediation of any coding team member who consistently falls below expected performance levels.
Select and review charts in the area that the coding team member has been found deficient. Assist the team member with building a stronger knowledge base, through intense review of available resources, to ensure their success.
Responsible for tracking the progress of each coding team member throughout the remediation period. Will monitor progression and success within the remediation plan.
Ensure that all coding team members receiving remediation are adhering to the predefined training schedule, also developed by the educator.
Will provide ongoing reports to coding leadership as to the progress of the coding team members through the remediation plan.
Will evaluate and take action on any identified areas in which team members are not progressing at the expected rate in the education track or display lack of understanding of training material.
4. Education of Students
Coordinate educational experience relating to coding for 2-year and 4-year Health Information students.
Minimum Requirements
Associates degree in Health Information Technology required- or higher.
RHIA or RHIT credential required.
Credentialed Coding Specialist (CCS) preferred
5 - 7 years experience in acute care, inpatient coding experience required.
Knowledge, Skills & Abilities required: (i.e. supervision, computers, etc.)
Demonstrated ability to manage, teach, make independent decisions and assume responsibility
Strong interpersonal communication skills, verbal and written
Ability to communicate and work effectively with all levels of staff
Working knowledge and experience with PC-based applications, i.e. Word, Excel, PowerPoint, Publisher, Outlook
Futuristic approach to the development of programs/systems that support continuous quality improvement and Mission, Vision, and Values
Ability to function as a leader, team member and execute the desired outcomes
Must exhibit creative, positive problem-solving abilities
Ability to plan, organize and effectively present ideas and concepts to groups
Ability to think conceptually and apply concepts in a practical application
Ability to assimilate information from a variety of sources, analyze information, and determine a course of action
Commitment to a high standard of customer service
Prior adult education/teaching experience preferred.
General Statement
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
Contact Information
For additional information, please contact:
Angie Nichols, Talent Acquisition Consultant
ECU Health Talent Acquisition
Email: Angie.Nichols@ecuhealth.org Show more details...
via Adzuna
posted_at: 3 days agoschedule_type: Full-time
Interested in Online Medical Billing & Coding Training? My Medical Career Can Help!
• Rapid ONLINE Training
• National Accreditation...
• Financial Aid Assistance*
• Career Placement Services*
Medical Billing & Coding - HIGH JOB OUTLOOK RATE!
The medical field plays a vital role in the nation's health and wellness, providing a number of opportunities for success. Medical technology continues to evolve, opening new doors for knowledgeable
Interested in Online Medical Billing & Coding Training? My Medical Career Can Help!
• Rapid ONLINE Training
• National Accreditation...
• Financial Aid Assistance*
• Career Placement Services*
Medical Billing & Coding - HIGH JOB OUTLOOK RATE!
The medical field plays a vital role in the nation's health and wellness, providing a number of opportunities for success. Medical technology continues to evolve, opening new doors for knowledgeable and capable individuals like you. According to the U.S. Department of Labor, this industry is projected to grow 11% from 2018 to 2028, 2x faster than the average of all occupations (bls.gov).
Why My Medical Career?
My Medical Career is the #1 portal for individuals seeking a career in the Medical Billing & Coding field. We are aligned with numerous training schools throughout the country that offer a variety of services, including job placement assistance to those who qualify. Our network of nationally recognized medical billing & coding schools makes it easy for you to find the right program in your area - take the first step towards your new career today.
Requirements
• Must be 18 years of age or older
• Must have HS Diploma or GED Equivalent
A complimentary 1-MINUTE APPLICATION is all that it takes to get started.
Let us connect you with a quality medical school in your area - LEARN MORE TODAY!
• If Qualified. Program requires tuition. Successful completion of program does not guarantee employment Show more details...
• Rapid ONLINE Training
• National Accreditation...
• Financial Aid Assistance*
• Career Placement Services*
Medical Billing & Coding - HIGH JOB OUTLOOK RATE!
The medical field plays a vital role in the nation's health and wellness, providing a number of opportunities for success. Medical technology continues to evolve, opening new doors for knowledgeable and capable individuals like you. According to the U.S. Department of Labor, this industry is projected to grow 11% from 2018 to 2028, 2x faster than the average of all occupations (bls.gov).
Why My Medical Career?
My Medical Career is the #1 portal for individuals seeking a career in the Medical Billing & Coding field. We are aligned with numerous training schools throughout the country that offer a variety of services, including job placement assistance to those who qualify. Our network of nationally recognized medical billing & coding schools makes it easy for you to find the right program in your area - take the first step towards your new career today.
Requirements
• Must be 18 years of age or older
• Must have HS Diploma or GED Equivalent
A complimentary 1-MINUTE APPLICATION is all that it takes to get started.
Let us connect you with a quality medical school in your area - LEARN MORE TODAY!
• If Qualified. Program requires tuition. Successful completion of program does not guarantee employment Show more details...
via ZipRecruiter
posted_at: 8 days agoschedule_type: Full-time
Anne Arundel Gastroenterology Associates (AAGA) a Covenant Physician Partner, located in beautiful Annapolis, Maryland, is looking for a Fulltime Medical Coding Specialist to join our talented and growing team.
Please note the pay range for this position is $20-25/hour...
Summary
Under the supervision of the Revenue Cycle Manager, the Coding Specialist is expected to perform all areas of coding, have knowledge of billing and account receivables
Anne Arundel Gastroenterology Associates (AAGA) a Covenant Physician Partner, located in beautiful Annapolis, Maryland, is looking for a Fulltime Medical Coding Specialist to join our talented and growing team.
Please note the pay range for this position is $20-25/hour...
Summary
Under the supervision of the Revenue Cycle Manager, the Coding Specialist is expected to perform all areas of coding, have knowledge of billing and account receivables resolution by utilizing approved insurance, patient billing and collections techniques.
Essential duties and responsibilities:
• Performs diagnostic and procedural coding from the Operative Reports for Outpatient Ambulatory Surgery Center procedures. The coding is performed with minimal variation from the coding guidelines, unless payer driven. The Coding Specialist should demonstrate accuracy, integrity and compliance with all the approved coding guidelines, resources and rules.
• As part of ongoing knowledge improvement process, the Coding Specialist will stay abreast of new ICD Diagnosis, CPT Procedure codes, Modifiers and guidelines.
• Employs effective and efficient billing techniques, and self-directed initiative, to resolve all types of billing edits.
• Must have working experience with all payer types: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross over into different payers.
• Establishes knowledge of major payers needed to identify payer rejection issues and executes the payer procedures needed to reduce the occurrence of future rejections. Experience and ability to identify billing or payer edit opportunities.
• Acts as the connection between internal and external customers to assist in the account coding and billing issue resolution process and to escalate issues which adversely impact claim resolution and payment.
• Documents all coding, billing, and action(s) needed to successfully resolve claim issues with insurances.
• Experience, and ability to identify and escalate trends impeding coding and billing tasks.
• Ability to perform independent research prior to seeking management assistance.
• Follows department QA policies and procedures defined by department as required to meet payer and regulatory requirements related to claims coding, billing and payer claim rejection resolution including procedures related to release of information, record retention, privacy and confidentiality.
• Provides information to Manager in identifying possible areas of concern that impact account coding and billing, accurately and in a timely manner.
About the Candidate
The ideal candidate for this role will be a self-motivated individual who is able to resolve issues independently with an understanding of when to approach leadership for input and direction.
Minimum Requirements:
• High school diploma, GED, or equivalent
• Must have the following coding credential: AAPC (CPC or CPC-A)
• Experience in ICD-10-CM and CPT Coding, with emphasis on E&M coding.
• Gastroenterology experience preferred
• 1-2 years coding experience required
What We Offer
• Generous paid time off in addition to national holidays, two floating holidays, and a birthday holiday
• Medical, Dental, and Vision insurance after 30 days of employment
• Voluntary employee and dependent life plans
• Short and Long-term disability
• Health Savings Account and Flexible Spending Account eligibility
• Critical Illness, Accident, and Hospital Indemnity insurance
• $250 of professional development funds provided every year
• Tuition Reimbursement up to $5,250 annually
• Free counseling sessions through our Employee Assistance Program
• Invest in your future with a company match on your 401k
• Associate discounts at major retailers such as Amazon Prime, Costco, and Sam’s Club
• Travel discounts with Hertz and Liberty Mutual
• Verizon Wireless discounts
• Free legal assistance through RocketLawyer
• Pet Insurance
• RN.com subscription reimbursement
• Access to our free mental wellness program – Sibly
Covenant Physician Partners is proud to be an Equal Opportunity Employer. Covenant does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law Show more details...
Please note the pay range for this position is $20-25/hour...
Summary
Under the supervision of the Revenue Cycle Manager, the Coding Specialist is expected to perform all areas of coding, have knowledge of billing and account receivables resolution by utilizing approved insurance, patient billing and collections techniques.
Essential duties and responsibilities:
• Performs diagnostic and procedural coding from the Operative Reports for Outpatient Ambulatory Surgery Center procedures. The coding is performed with minimal variation from the coding guidelines, unless payer driven. The Coding Specialist should demonstrate accuracy, integrity and compliance with all the approved coding guidelines, resources and rules.
• As part of ongoing knowledge improvement process, the Coding Specialist will stay abreast of new ICD Diagnosis, CPT Procedure codes, Modifiers and guidelines.
• Employs effective and efficient billing techniques, and self-directed initiative, to resolve all types of billing edits.
• Must have working experience with all payer types: commercial, governmental, Medicare, Medicaid, HMO, etc. and the ability to cross over into different payers.
• Establishes knowledge of major payers needed to identify payer rejection issues and executes the payer procedures needed to reduce the occurrence of future rejections. Experience and ability to identify billing or payer edit opportunities.
• Acts as the connection between internal and external customers to assist in the account coding and billing issue resolution process and to escalate issues which adversely impact claim resolution and payment.
• Documents all coding, billing, and action(s) needed to successfully resolve claim issues with insurances.
• Experience, and ability to identify and escalate trends impeding coding and billing tasks.
• Ability to perform independent research prior to seeking management assistance.
• Follows department QA policies and procedures defined by department as required to meet payer and regulatory requirements related to claims coding, billing and payer claim rejection resolution including procedures related to release of information, record retention, privacy and confidentiality.
• Provides information to Manager in identifying possible areas of concern that impact account coding and billing, accurately and in a timely manner.
About the Candidate
The ideal candidate for this role will be a self-motivated individual who is able to resolve issues independently with an understanding of when to approach leadership for input and direction.
Minimum Requirements:
• High school diploma, GED, or equivalent
• Must have the following coding credential: AAPC (CPC or CPC-A)
• Experience in ICD-10-CM and CPT Coding, with emphasis on E&M coding.
• Gastroenterology experience preferred
• 1-2 years coding experience required
What We Offer
• Generous paid time off in addition to national holidays, two floating holidays, and a birthday holiday
• Medical, Dental, and Vision insurance after 30 days of employment
• Voluntary employee and dependent life plans
• Short and Long-term disability
• Health Savings Account and Flexible Spending Account eligibility
• Critical Illness, Accident, and Hospital Indemnity insurance
• $250 of professional development funds provided every year
• Tuition Reimbursement up to $5,250 annually
• Free counseling sessions through our Employee Assistance Program
• Invest in your future with a company match on your 401k
• Associate discounts at major retailers such as Amazon Prime, Costco, and Sam’s Club
• Travel discounts with Hertz and Liberty Mutual
• Verizon Wireless discounts
• Free legal assistance through RocketLawyer
• Pet Insurance
• RN.com subscription reimbursement
• Access to our free mental wellness program – Sibly
Covenant Physician Partners is proud to be an Equal Opportunity Employer. Covenant does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law Show more details...
via UC Health
schedule_type: Full-time
Job Description
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering...
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your
Job Description
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering...
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.
UC Health is committed to providing an inclusive, equitable and diverse place of employment.
Performs ongoing coding audits, provides feedback to coding staff, compiles and reports results.
Responsibilities
• Performs routine coding audits evaluating accuracy of assignment of codes, disposition, POA indicators and DRGs as indicated. Performs focus coding audits on specific topics, DRGs codes etc. Provides feedback to coders on an individual basis and communicates educational opportunities to CCS Educator. Tracks results of audits and reports findings as indicated. Considers feedback from the coders as appropriate.
• Works with the coding managers and Coding Educator to identify topics for educational and training purposes. Assists Coding Educator in development of training materials and identification of case examples. Attends educational sessions to ensure continuity among auditors and coders. Responds to coder questions and reviews cases as necessary to assist with correct code assignment.
• Assists with coding when necessary to help meet department goals.
• Review cases in question by outside agencies, payers, UCH Quality and other internal departments. Communicates findings/rationale for code and DRG assignment. Coordinates corrections with coding staff Tracks and reports on denial activities and final results.
• Serves as the primary resource for coding questions, information and feedback for CCS associates as well as other UC Health departments and personnel.
• Reviews educational materials thoroughly and takes responsibility for applying this information to their duties Seeks to clarify information and educational material when necessary. Listens actively. Maintains information and resources in an organized manner so that information can be referenced easily. Reviews emails timely and thoroughly and responds when indicated. Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance.
Qualifications
• Bachelor's Degree in Science or related field. Preferred:
• Master's Degree Preferred.
• Certification through American Society for Clinical Pathology required.
• 1-2 years equivalent experience.
• 3-5 years equivalent experience preferred Show more details...
At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering...
As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors.
UC Health is committed to providing an inclusive, equitable and diverse place of employment.
Performs ongoing coding audits, provides feedback to coding staff, compiles and reports results.
Responsibilities
• Performs routine coding audits evaluating accuracy of assignment of codes, disposition, POA indicators and DRGs as indicated. Performs focus coding audits on specific topics, DRGs codes etc. Provides feedback to coders on an individual basis and communicates educational opportunities to CCS Educator. Tracks results of audits and reports findings as indicated. Considers feedback from the coders as appropriate.
• Works with the coding managers and Coding Educator to identify topics for educational and training purposes. Assists Coding Educator in development of training materials and identification of case examples. Attends educational sessions to ensure continuity among auditors and coders. Responds to coder questions and reviews cases as necessary to assist with correct code assignment.
• Assists with coding when necessary to help meet department goals.
• Review cases in question by outside agencies, payers, UCH Quality and other internal departments. Communicates findings/rationale for code and DRG assignment. Coordinates corrections with coding staff Tracks and reports on denial activities and final results.
• Serves as the primary resource for coding questions, information and feedback for CCS associates as well as other UC Health departments and personnel.
• Reviews educational materials thoroughly and takes responsibility for applying this information to their duties Seeks to clarify information and educational material when necessary. Listens actively. Maintains information and resources in an organized manner so that information can be referenced easily. Reviews emails timely and thoroughly and responds when indicated. Manages the remote work setting effectively and comes on site when system, connectivity or other issues arise that would impact work performance.
Qualifications
• Bachelor's Degree in Science or related field. Preferred:
• Master's Degree Preferred.
• Certification through American Society for Clinical Pathology required.
• 1-2 years equivalent experience.
• 3-5 years equivalent experience preferred Show more details...
via ZipRecruiter
posted_at: 8 days agoschedule_type: Full-timework_from_home: 1
MCRA is a leading medical device advisory firm and clinical research organization (CRO). MCRA's value contribution rests within its industry experience at integrating five business value creators-regulatory, clinical research, reimbursement, healthcare compliance, and quality assurance-to provide a dynamic, market-leading effort from concept to commercialization. MCRA's integrated application of... these key value-creating functions provides unparalleled
MCRA is a leading medical device advisory firm and clinical research organization (CRO). MCRA's value contribution rests within its industry experience at integrating five business value creators-regulatory, clinical research, reimbursement, healthcare compliance, and quality assurance-to provide a dynamic, market-leading effort from concept to commercialization. MCRA's integrated application of... these key value-creating functions provides unparalleled expertise for its clients. MCRA has offices in Washington, DC, Manchester, CT, New York, NY, and a global presence in Japan and Europe and serves more than 1100 clients globally. Its core focus areas of therapeutic experience include orthopedics, spine, cardiovascular, neurology, digital health, diagnostic imaging, wound care, dental, general healthcare, robotics, and in vitro diagnostic (IVD) devices.
Position Overview:
The Coding & Coverage Access Specialist is a dynamic, public-facing role that is focused on supporting a variety of patient access and reimbursement functions, with an emphasis on researching and responding to a diverse range of coding and coverage inquiries from clients, healthcare providers, and patients seeking access to innovative diagnostic and therapeutic interventions. Excellent oral and written communication skills combined with exceptional customer service skills are essential functions for this position.
Responsibilities:
• Provide positive, proactive service to MCRA's Patient Access Solutions (PAS) clients in support of coding hotlines and coverage access programs.
• Perform intake of cases and capture all relevant research and correspondence in MCRA's CRM
• Answers technical coding, coverage, and reimbursement questions from providers, billing and coding staff, and sales representatives
• Stay abreast of current trends in coding and coverage support pathways for new technologies with continuing education and coding forum reviews
• Facilitate Coverage Access support to patients including performing benefit investigations, pre-authorization and denied claims appeals, in an efficient and timely manner
• Provide recurring education about the technologies and procedures supported by PAS to physicians, hospitals, patients, and other stakeholders as may be required to effect timely access to care
• Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly
• Adhere to all HIPAA compliance policies
• Ensure all work products comply fully with related guidelines, regulations, standards, policies, and mission of MCRA.
• Additional duties as assigned
Requirements:
• Associate degree required/B.S. or B.A. preferred
• 2+ years of experience in health care, preferably in a physician practice or facility
• Coding certification (such as CPC or CPC-A) required
• Experience in health care in an administrative capacity is highly desirable, preferably in a physician practice or facility applying knowledge of billing code systems and claims processing
• Proficiency with MS Office Suite, including PowerPoint, Excel, Word, and Outlook
• Excellent oral and written communication skills
• Strong analytical and documentation proficiencies
• Ability to work effectively in a team environment
• Detail and process-oriented, with analytical and documentation proficiencies
• Self-directed individual able to manage client engagements with minimal supervision
• Demonstrates strong patient advocacy skills, and client interaction skills
• Ability to work outside of traditional business hours needed (A few days a week may be 10:30am - 7:00pm Eastern Time)
• Potential for travel to the company's office, for meetings, and conferences.
Additional Details:
• Full Time position - Manchester, CT office based preferred - remote opportunity for well-qualified candidate
$40 - $70 a year
Salary + bonus
Medical, dental, and vision insurance
Company-paid life insurance
Company-paid STD and LTD
401(k) with company matching program
Generous PTO policy
Paid parental leave benefits
Pre-tax public transit and parking benefit
NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as to meet the ongoing needs of the organization.
MCRA, LLC is an equal opportunity/Affirmative Action employer and does not discriminate in its selection and employment practices. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, political affiliation, sexual orientation, gender identity, marital status, disability, protected veteran status, genetic information, age, or other legally protected characteristics.
Apply for this job Show more details...
Position Overview:
The Coding & Coverage Access Specialist is a dynamic, public-facing role that is focused on supporting a variety of patient access and reimbursement functions, with an emphasis on researching and responding to a diverse range of coding and coverage inquiries from clients, healthcare providers, and patients seeking access to innovative diagnostic and therapeutic interventions. Excellent oral and written communication skills combined with exceptional customer service skills are essential functions for this position.
Responsibilities:
• Provide positive, proactive service to MCRA's Patient Access Solutions (PAS) clients in support of coding hotlines and coverage access programs.
• Perform intake of cases and capture all relevant research and correspondence in MCRA's CRM
• Answers technical coding, coverage, and reimbursement questions from providers, billing and coding staff, and sales representatives
• Stay abreast of current trends in coding and coverage support pathways for new technologies with continuing education and coding forum reviews
• Facilitate Coverage Access support to patients including performing benefit investigations, pre-authorization and denied claims appeals, in an efficient and timely manner
• Provide recurring education about the technologies and procedures supported by PAS to physicians, hospitals, patients, and other stakeholders as may be required to effect timely access to care
• Provides exceptional customer service to internal and external customers; resolves any customer requests in a timely and accurate manner; escalates complaints accordingly
• Adhere to all HIPAA compliance policies
• Ensure all work products comply fully with related guidelines, regulations, standards, policies, and mission of MCRA.
• Additional duties as assigned
Requirements:
• Associate degree required/B.S. or B.A. preferred
• 2+ years of experience in health care, preferably in a physician practice or facility
• Coding certification (such as CPC or CPC-A) required
• Experience in health care in an administrative capacity is highly desirable, preferably in a physician practice or facility applying knowledge of billing code systems and claims processing
• Proficiency with MS Office Suite, including PowerPoint, Excel, Word, and Outlook
• Excellent oral and written communication skills
• Strong analytical and documentation proficiencies
• Ability to work effectively in a team environment
• Detail and process-oriented, with analytical and documentation proficiencies
• Self-directed individual able to manage client engagements with minimal supervision
• Demonstrates strong patient advocacy skills, and client interaction skills
• Ability to work outside of traditional business hours needed (A few days a week may be 10:30am - 7:00pm Eastern Time)
• Potential for travel to the company's office, for meetings, and conferences.
Additional Details:
• Full Time position - Manchester, CT office based preferred - remote opportunity for well-qualified candidate
$40 - $70 a year
Salary + bonus
Medical, dental, and vision insurance
Company-paid life insurance
Company-paid STD and LTD
401(k) with company matching program
Generous PTO policy
Paid parental leave benefits
Pre-tax public transit and parking benefit
NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as to meet the ongoing needs of the organization.
MCRA, LLC is an equal opportunity/Affirmative Action employer and does not discriminate in its selection and employment practices. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, political affiliation, sexual orientation, gender identity, marital status, disability, protected veteran status, genetic information, age, or other legally protected characteristics.
Apply for this job Show more details...
via Jobs At Johns Hopkins University
posted_at: 27 days agoschedule_type: Full-time
We are seeking a Coding Specialist responsible for diagnosis and CPT coding within the various department billing offices. Will review or code charges for diagnosis and CPT for entry into the JHM and JHU/ PBS billing applications. This can be accomplished through an interface or manual charge entry for services performed at JHM practice sites.
Specific Duties & Responsibilities...
Procedural Knowledge
• Gathers and verifies all information required
We are seeking a Coding Specialist responsible for diagnosis and CPT coding within the various department billing offices. Will review or code charges for diagnosis and CPT for entry into the JHM and JHU/ PBS billing applications. This can be accomplished through an interface or manual charge entry for services performed at JHM practice sites.
Specific Duties & Responsibilities...
Procedural Knowledge
• Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract.
• Bundle appropriately based on CPT code rule and payer billing guidelines.
• Resolves POS vs. CPT code discrepancies.
• Verify E/M code type such as New vs. Establish patients and level of service.
• Responsible for maintaining a system of billing accuracy through encounter verification i.e., clinic schedules, encounter information in EPIC, I/P consults and medical records.
• Follows payer guidelines.
• Follows limiting coverage guidelines for diagnosis coding by using LCD/NCD/payer policy information and assigns appropriate modifiers based on departmental policy.
• Carries diagnosis code out to the highest level of specificity that is appropriate.
• Follows ICD-10 codes to ensure diagnosis codes are appropriate for each specialty.
• Review and resolve EPIC Charge Review edits daily.
• Will research and respond to coding questions from physicians, patients (via SBO Account WQ) and co-workers as necessary.
• Exercises independent judgment in daily activities.
Technical Knowledge
• Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
• Working knowledge of JHU/ PBS Billing Applications.
• Utilize online resources to facilitate efficient claims processing.
• Professional & Personal Development:
• Participate in on-going educational activities.
• Assist in the training of staff.
• Keep current of industry changes by reading assigned material on work related topics.
• Complete three days of training annually.
Service Excellence
• Must adhere to Service Excellence Standards.
• Customer Relations
• Self-Management
• Teamwork
• Communications
• Ownership/Accountability.
• Continuous Performance Improvement.
Minimum Qualifications
• High School Diploma/GED.
• Medical Terminology, Anatomy, and Physiology courses or demonstrated appropriate knowledge.
• CPC Certification (or department approved certification).
• One-year related experience in medical billing and demonstrated analytical skills.
• Epic experience. Understanding of third-party payer issues.
• Additional education may substitute for experience to the extent permitted by the JHU equivalency formula.
Classified Title: Coding Specialist
Role/Level/Range: ATO 40/E/02/OE
Starting Salary Range: Min $18.00 - Max $33.50 HRLY ($25.75/hour targeted; Commensurate with experience)
Employee group: Full Time
Schedule: M-F
Exempt Status: Non-Exempt
Location: Remote
Department name: SOM DOM Billing
Personnel area: School of Medicine
Total Rewards
The referenced salary range is based on Johns Hopkins University’s good faith belief at the time of posting. Actual compensation may vary based on factors such as geographic location, work experience, market conditions, education/training and skill level. Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: https://hr.jhu.edu/benefits-worklife/
Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:
JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
• *Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.
The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate’s conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.
The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, the JHU Roadmap on Diversity and Inclusion.
Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
EEO is the Law
Learn more:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf
Accommodation Information
If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the Talent Acquisition Office at jhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit accessibility.jhu.edu.
Johns Hopkins has mandated COVID-19 and influenza vaccines, as applicable. The COVID-19 vaccine does not apply to positions located in the State of Florida. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry. For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/ and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/.
The following additional provisions may apply, depending on campus. Your recruiter will advise accordingly.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
Note: Job Postings are updated daily and remain online until filled Show more details...
Specific Duties & Responsibilities...
Procedural Knowledge
• Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract.
• Bundle appropriately based on CPT code rule and payer billing guidelines.
• Resolves POS vs. CPT code discrepancies.
• Verify E/M code type such as New vs. Establish patients and level of service.
• Responsible for maintaining a system of billing accuracy through encounter verification i.e., clinic schedules, encounter information in EPIC, I/P consults and medical records.
• Follows payer guidelines.
• Follows limiting coverage guidelines for diagnosis coding by using LCD/NCD/payer policy information and assigns appropriate modifiers based on departmental policy.
• Carries diagnosis code out to the highest level of specificity that is appropriate.
• Follows ICD-10 codes to ensure diagnosis codes are appropriate for each specialty.
• Review and resolve EPIC Charge Review edits daily.
• Will research and respond to coding questions from physicians, patients (via SBO Account WQ) and co-workers as necessary.
• Exercises independent judgment in daily activities.
Technical Knowledge
• Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
• Working knowledge of JHU/ PBS Billing Applications.
• Utilize online resources to facilitate efficient claims processing.
• Professional & Personal Development:
• Participate in on-going educational activities.
• Assist in the training of staff.
• Keep current of industry changes by reading assigned material on work related topics.
• Complete three days of training annually.
Service Excellence
• Must adhere to Service Excellence Standards.
• Customer Relations
• Self-Management
• Teamwork
• Communications
• Ownership/Accountability.
• Continuous Performance Improvement.
Minimum Qualifications
• High School Diploma/GED.
• Medical Terminology, Anatomy, and Physiology courses or demonstrated appropriate knowledge.
• CPC Certification (or department approved certification).
• One-year related experience in medical billing and demonstrated analytical skills.
• Epic experience. Understanding of third-party payer issues.
• Additional education may substitute for experience to the extent permitted by the JHU equivalency formula.
Classified Title: Coding Specialist
Role/Level/Range: ATO 40/E/02/OE
Starting Salary Range: Min $18.00 - Max $33.50 HRLY ($25.75/hour targeted; Commensurate with experience)
Employee group: Full Time
Schedule: M-F
Exempt Status: Non-Exempt
Location: Remote
Department name: SOM DOM Billing
Personnel area: School of Medicine
Total Rewards
The referenced salary range is based on Johns Hopkins University’s good faith belief at the time of posting. Actual compensation may vary based on factors such as geographic location, work experience, market conditions, education/training and skill level. Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: https://hr.jhu.edu/benefits-worklife/
Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines:
JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job.
• *Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date.
The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate’s conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function.
The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, the JHU Roadmap on Diversity and Inclusion.
Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
EEO is the Law
Learn more:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf
Accommodation Information
If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the Talent Acquisition Office at jhurecruitment@jhu.edu. For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit accessibility.jhu.edu.
Johns Hopkins has mandated COVID-19 and influenza vaccines, as applicable. The COVID-19 vaccine does not apply to positions located in the State of Florida. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry. For additional information, applicants for SOM positions should visit https://www.hopkinsmedicine.org/coronavirus/covid-19-vaccine/ and all other JHU applicants should visit https://covidinfo.jhu.edu/health-safety/covid-vaccination-information/.
The following additional provisions may apply, depending on campus. Your recruiter will advise accordingly.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
Note: Job Postings are updated daily and remain online until filled Show more details...
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