Billing Specialist

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The Billing Specialist, reports to the Billing Director, and is responsible for an intermediate level of analyzing, reviewing and resolving billing denials for medical necessity or any other coding specific facility specific denials. The Specialist will review medical record documentation to assure services are billed with the appropriate diagnosis and procedures, will assign the appropriate ICD-10, CPT, and HCPCS code as documented for accurate claim submission to bill appropriately for all services provided. The Technical Billing Specialist will serve as an intermediate level resource for the Patient Financial Services department to assist with coding guidance. As appropriate, may assign billing modifiers to assure correct reimbursement. In an effort to optimize reimbursement and reduce denials, the Technical Billing Specialist will communicate findings and provide the necessary education for clinical departments and business office staff on coding and billing guidelines. The Technical Billing Specialist will also gather relevant denial trends for presentation to management and make recommendations for improvementunder the supervision of the Chief Technologist and Senior Technologist, operates standard, portable, and specialized X-ray equipment to perform radiographic examminations used for diagnosis and treatment. Provides appropriate patient care and obtains images usiing digital radiography (DR) imaging technology.

Shift: Monday-Friday 8:30 am-5:30 pm, no weekends

Qualifications:

• Associates Degree preferred. Experience beyond the work experience requirement may be substituted for the degree on 2 years of experience for 1 year of education.
• 3-5 years of experience in outpatient coding
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  Certification in Coding: CPC, CCS or COC Health care-related licensure or certification in nursing or other clinically related fields is preferred.

  
  

Note: The benefits offered by Johns Hopkins Regional Physicians differ from those of the Health System. Please ask your recruiter to share more details.

Salary Range: Minimum $22.00 per hour - Maximum $34.00 per hour. 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.

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