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Johns Hopkins University

Research university in Baltimore, MD

Pathology Coding Specialist

Clinical Support & Patient AdministrationUpdated on Nov 11
Full-timeRemote in USA$26 - $30 /hr

About the Job

Requirements

  • Have at least three years of coding experience, including at least one year of pathology coding experience.
  • Be competent in laboratory pathology coding; anatomical pathology coding is acceptable, but the role focuses on laboratory coding.
  • Have a bachelor's degree in Health Information Management (HIM), Medical Coding, or a related field, or have a high school diploma or GED and at least two years of medical-coding work experience as a substitute.
  • Hold a CPC (AAPC Certified Professional Coder), CCA (Certified Coding Associate), or CCS-P (Certified Coding Specialist – Physician) certification.
  • Know Medicare, Medicaid, and commercial payer policies, including coding compliance standards and regulatory requirements.
  • Know CPT and HCPCS coding systems, medical terminology, anatomy and physiology, and professional billing coding guidelines.
  • Know ICD-10.
  • Have experience using coding and revenue-cycle systems to review work queues, resolve coding edits, and support accurate claim submission.

Responsibilities

  • Assign diagnosis and procedure codes to professional billing encounters based on medical-record documentation and applicable coding guidelines.
  • Review and code moderately complex cases, including encounters involving multiple diagnoses, comorbid conditions, or complex documentation scenarios.
  • Use revenue-cycle and coding systems to review assigned work queues, identify coding-related claim issues, and independently resolve routine and moderately complex discrepancies.
  • Collaborate with providers and clinical staff to clarify documentation and improve clinical documentation quality and completeness to support accurate coding and billing.
  • Participate in coding quality-assurance activities and comply with federal, state, payer, and organizational coding guidelines while maintaining productivity and quality standards.
  • Perform professional-fee coding in a physician-based environment, including CPT coding, ICD-10-CM diagnosis coding, HCPCS coding as applicable, Evaluation and Management (E/M) leveling, and physician documentation review to support accurate, compliant coding and appropriate reimbursement.

About the Company

Johns Hopkins University

Research university in Baltimore, MD

Johns Hopkins University is a private research university in Baltimore, Maryland. It offers undergraduate, graduate, and professional education through its schools and divisions.

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