Coding specialist Jobs in Usa

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

• 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.
• May obtain correct NPI number and all needed information from Referring Doc Dictionary. May act as a back up to Charge Entry when needed.
• 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

Professional & Personal Development

Service Excellence

Minimum Qualifications

Preferred Qualifications

Classified Title : Coding Specialist

Role / Level / Range : ATO 40 / E / 02 / OE

Starting Salary Range : $18.20 - $33.90 HRLY ($54,080 targeted; Commensurate with experience)

Employee group : Full Time

Schedule : M-F; 40hrs / wk

Exempt Status : Non-Exempt

Location : Remote

Department name : SOM DOM Billing

Personnel area : School of Medicine