On behalf of Johns Hopkins University, we a seeking a Certified Professional Coder in Nottingham, MD. This individual will be responsible for understanding all aspects of coding, quality assurance and compliance.
Works closely with Office of Billing Quality Assurance to include review of documentation.
Serves as departmental expert on coding questions.
Exercises independent judgment and decision making on a regular basis with respect to code selection.
Holds bills and seeks corrective action for services not meeting documentation requirements in accordance with CPA policies.
Researches and answers billing and documentation questions or problems submitted by faculty, department, billing staff, and others to ensure compliance with specific payer regulations and CPA policies and procedures.
Supports department compliance efforts through participation in department training and education programs relative to specific product lines in accordance with established policies.
Conducts feedback/training sessions for physicians to present the results of medical record documentation as warranted.
Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract.
Maintains a system of billing accuracy through encounter verification i.e., clinic schedules, encounter forms, I/P consults, medical records.
May act as a back up to Charge Entry when needed.
Working hours: 8:00 AM - 5:00 PM
Understanding of third party payer issues
Comprehensive knowledge and compliance of HIPAA rules and regulations
High School Diploma or GED required
Active CPC certification
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