Coding Specialist II

Coding Specialist II

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 Radiology, 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.

Education: High school diploma or GED required. Associates or higher degree in health information management or healthcare related field preferred.

Required Licensure, Certification, and On-going Training: 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.

Work Experience: 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.

Salary Range: Minimum $22.00/visit - Maximum $36.32/visit. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.

Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.