Johns Hopkins Medical Management Corporation
Location
Middle River, Maryland
Salary
$26 - $30 / HOUR
Assigns diagnosis and procedure codes to professional billing encounters based on medical record documentation and guidelines. Collaborates with clinical staff to improve documentation quality and ensures compliance with federal and organizational coding standards.
Requires a Bachelor's degree in HIM or related field, or a high school diploma with 2 years of medical coding experience. Must hold a CPC, CCA, or CCS-P certification and possess strong knowledge of CPT, HCPCS, and ICD-10 systems.
Assigns diagnosis and procedure codes to professional billing encounters based on medical record documentation and applicable coding guidelines. Reviews and codes moderately complex cases, including encounters involving multiple diagnoses, comorbid conditions, or complex documentation scenarios. Utilizes revenue cycle and coding systems to review assigned work queues, identify coding-related claim issues, and independently resolve routine and moderately complex discrepancies. Collaborates with providers and clinical staff to clarify documentation and improve the quality and completeness of clinical documentation to support accurate coding and billing. Participates in coding quality assurance activities and ensures compliance with federal, state, payer, and organizational coding guidelines while maintaining productivity and quality standards. Core Coding Focus: This role involves professional fee coding in a physician-based environment and includes work with CPT coding, ICD-10-CM diagnosis coding, HCPCS coding as applicable, Evaluation & Management (E/M) leveling, and physician documentation review to support accurate, compliant coding and appropriate reimbursement.
Minimum of an Bachelors Degree in HIM, Medical Coding, or related field; or a minimum of high school diploma or GED and 2 years work experience in medical coding can be substituted for Bachelors Degree CPC (AAPC Certified Professional Coder), CCA (Certified Coding Associate), or CCS-P (Certified Coding Specialist – Physician) certification is required. Knowledge of Medicare, Medicaid, and commercial payer policies, including coding compliance standards and regulatory requirements Demonstrated knowledge of CPT and HCPCS coding systems, medical terminology, anatomy and physiology, and professional billing coding guidelines Demonstrated knowledge of ICD10 is required Experience utilizing coding and revenue cycle systems to review work queues, resolve coding edits, and support accurate claim submission Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. 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.
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