Hospital Coding Specialist I Johns Hopkins Health System - 3.8 Baltimore, MD Job Details Full-time 1 day ago Benefits Tuition reimbursement Qualifications Data quality assurance CMS Regulatory compliance AHIMA Data summary reports CMS regulatory compliance Quality assurance audits Medical coding for emergency department records Retrospective medical coding audits Bachelor's degree Charge capture (medical billing) Electronic health record (EHR) management for billing and coding Quality control Health record chart audits Medical record abstraction Health information regulatory compliance Centers for Medicare & Medicaid Services (CMS) billing regulations Clinical documentation improvement Health information management Quality audits Bachelor's degree in health information management Health Information Management 1 year Data accuracy checks Clinical documentation standards Cross-functional collaboration Entry level Documentation reviews Full Job Description Requisition #: 676397
Location:
Johns Hopkins Health System, Baltimore, MD 21201
Category:
Coding Schedule:
Day Shift Employment Type:
Full Time YOU Belong Here What Awaits You? Career growth and development Employee and Dependent Tuition Assistance Diverse and collaborative working environment Affordable and comprehensive benefits package This is a remote role, Monday-Friday 8am-4:30pm. Applicants living in MD, DC, VA, PA, DE, or FL will only be considered.
Summary:
Responsible for reviewing and coding medical record documentation for lower complexity hospital outpatient services, primarily Clinic and Emergency Department accounts across JHHS entities. Assigns
ICD-10-CM
diagnosis codes, CPT/HCPCS procedure codes, and applicable modifiers based on medical record documentation to support accurate and compliant claim submission. Reviews clinical documentation and abstracts required data elements in accordance with Federal, State, CMS, HSCRC, and organizational coding and billing guidelines. Utilizes electronic health records, computerized encoders, and revenue cycle systems to resolve routine coding edits and claim issues for assigned account types. Works collaboratively with providers and departments to obtain clarification on documentation as needed and to resolve missing or incorrect charges within assigned areas. Organizes and prioritizes work to meet productivity and quality standards while developing proficiency in coding guidelines, regulatory requirements, and organizational workflows. This is an entry-level coding position focused on developing coding knowledge, accuracy, and productivity. Maintains and expands knowledge of coding and sequencing guidelines and participates in quality assurance and educational activities to support ongoing professional development. Works under general supervision and guidance and collaborates as a member of the HIM and Coding team
Education:
Bachelor's Degree in health information management, medical coding, or a related field (One year of relevant education may be substituted for one year of required work experience or one year of relevant professional-level work experience may be substituted for one year of required education).
Required Licensure:
Active approved coding credential from AAPC or AHIMA upon hire. Successful completion of Outpatient Coding Specialist I diagnosis and CPT coding pre-employment assessment upon hire. (Required)
Essential Functions:
Reviews medical records to assign accurate codes for physician services. Ensures compliance with all coding guidelines, regulations, and hospital policies. Maintains up-to-date knowledge of coding standards, payer requirements, and regulatory changes. Prepares and submits accurate and timely coding reports to the billing department. Audits coded data to ensure accuracy and completeness.