Analyst, Inpatient Coding Denials and DNFB
Company: The Johns Hopkins Hospital
Posted on: October 13, 2019
Analyst, Inpatient Coding Denials and DNFB (Remote) Requisition #:
Location: Johns Hopkins Hospital, Baltimore, MD 21201
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: Feb. 6, 2019
Johns Hopkins Health System employs more than 20,000 people
annually. When joining the Johns Hopkins Health System, you became
part of a diverse organization dedicated to its patients, their
families, and the community we serve, as well as to our employees.
Career opportunities are available in academic and community
hospital settings, home care services, physician practices,
international affiliate locations and in the health insurance
industry. Great careers continually advance here.
The Analyst Inpatient Coding Denials & DNFB (Discharged Not Final
Billed), under the coordination of the Lead Analyst Inpatient
Coding Denial & DNFB, is responsible for the daily review and
management of the Inpatient Coding denials and DNFB for all
facilities within the Johns Hopkins Health System. The Analyst
Inpatient Coding Denials & DNFB will review and resolve Inpatient
claim edits by monitoring aging accounts and prioritizing,
providing resolution, and identifying barriers preventing clean
claims from being reimbursed timely. The Analyst Inpatient Coding
Denials & DNFB will investigate all Inpatient accounts that are not
final coded, prioritizing by established criteria such as oldest
discharge date, and identify claim issues preventing final coding.
The Analyst will work with all key stakeholders to resolve issues
impacting coding delays to support DNFB goals.
Education/Experience/Certification Track 1: High school diploma w/
CCS required. Experience equivalent to (3) three years of coding
inpatient hospital records.
Education/Experience/Certification Track 2: Associates Degree/RHIT
required. CCS Preferred. Experience equivalent to (2) two years of
coding inpatient hospital records.
Education/Experience/Certification Track 3: Associates Degree/RHIA
required. CCS Preferred. Experience equivalent to (1) one year of
coding inpatient hospital records.
Required Recruitment Screening: Successful completion of AHIMA
approved coding skills assessment: Coding Specialist III
Knowledge of revenue cycle processes and the relationship of coding
to billing. Knowledge of APR-DRG and MS-DRG payer models. Knowledge
AHA and CMS rules and regulation for code assignment and denial
management. Detailed knowledge of medical coding systems,
procedures, documentation requirements and regulatory requirements
and Medical Terminology, Clinical Anatomy and Physiological.
Knowledge of legal, regulatory, and policy compliance issues
related to medical coding diagnoses, procedures and documentation.
Knowledge of current and developing issues and trends in medical
coding diagnosis and procedures requirements. Ability to resolve
complex denials as it relates to coding.
Ability to code using the latest ICD-10CM/PCS coding classification
system. Ability to prioritize work and provide prompt efficient
service. Ability to analyze and solve problems. Excellent oral and
written communication skills. Ability to adapt and modify medical
coding processes, protocols, and work within data management
systems to meet specific operating requirements.
Required Licensure Certification, etc.:
If qualifying under Track 1, a minimum of an AHIMA credential of
CCS is required upon hire.
If qualifying under Track 2 or Track 3, a minimum of an AHIMA
credential of RHIT is required upon hire.
See Competencies section.
Day Shift, Full Time (40 hours) (8:30 am - 5:00 pm)
Non-Exempt, Pay Grade: NH
Work Location: Remote Position
Working Conditions: Works in normal office environment where there
is little discomfort to due to the extremes of heat, dust, noise,
temperature and the like
Johns Hopkins is a Smoke-Free Campus.
Johns Hopkins Health System and its affiliates are drug-free
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.
Patients are the focus of everything we do at The Johns Hopkins
Hospital. From our beginnings in 1889 to the opening of our most
advanced patient facilities in 2012, our mission to advance patient
care, education, and research, continues to change the course of
Keywords: The Johns Hopkins Hospital, Baltimore , Analyst, Inpatient Coding Denials and DNFB, Professions , Baltimore, Maryland
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