We are seeking a Coding Specialist III who will be responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. Works closely with departmental management and coordinates with Clinical Practice Association, 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. Responsible for developing coding and billing change procedures. Responsible for training on all coding and billing changes. Specific Duties & Responsibilities Procedural Knowledge - Responsible for all aspects of coding, quality assurance, and compliance with Federal payer documentation guidelines. - Works closely the 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, and medical records. - Review and resolve Epic Charge Review Edits daily. - May act as a backup to Charge Entry when needed. - Pro Fee Tracking Database- May fill out the missing information form and forward it to the appropriate contact person. - Works with Department Management to create Charge Review Rules to prevent unnecessary denials. - Works with Department Management on maintenance of provider preference lists. - Provides training on all coding changes to providers and staff. Develops presentations to effectively communicate how changes will affect provider billing and coding. Provide face-to-face training on changes to providers based at all Hopkins locations. Technical Knowledge - Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI). - Working knowledge of JHU/ PBS Billing Applications. - Utilize online resources to facilitate efficient claims processing. - Capable of advanced problem-solving in medical billing and coding. Professional & Personal Development - Participate in ongoing educational activities. - Assist in the training of staff, providers, management, and administration. - Keep current of industry changes by reading assigned material on work-related topics and providing updates to providers, staff, management, and administration - Complete three days of training annually. Minimum Qualifications - High School Diploma or graduation equivalent. - Five years coding experience with demonstrated analytical skills. - Medical Terminology, Anatomy and Physiology courses required or demonstrated appropriate knowledge. - CPC certification. - Specialty CPC certification or second AAPC certification. - Experience with Medicare regulations. - Understanding of third-party payer issues. - Epic experience preferred. - Additional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula. Classified Title: Coding Specialist III Job Posting Title (Working Title): Coding Specialist III (Anesthesiology & Critical Care Medicine) Role/Level/Range: ATO 40/E/03/OG Starting Salary Range: $24.25 - $42.50 HRLY ($63,000 targeted; Commensurate w/exp.) Employee group: Full Time Schedule: Monday-Friday (8 hours) FLSA Status: Non-Exempt Location: Remote Department name: SOM Ane Production Unit Billing Personnel area: School of Medicine

Transcarent's Expert Medical Opinion is Recruiting for a Full Time Medical/Surgical/Musculoskeletal (MSK) Team Lead, Registered Nurse. This position is Remote. Applicants will be required to work 9am to 6pm CST. Applicants with Medical/Surgical experience and/or Post Anesthesia Care Unit (PACU) experience with are encouraged to apply. The Hiring Manager is will to train applicants who may not have Musculoskeletal experience. About this role The Team Lead, Registered Nurse, reporting to the Clinical Manager, is responsible for supporting the daily operations of the telehealth clinical staff and delivering high quality member care, while fostering a collaborative and supportive work environment. This role involves both clinical and administrative responsibilities, including direct member care, staff oversight, quality & accreditation documentation resources, and participation in policy development. The Lead Nurse will act as a key liaison between nursing staff, clinical leaders, and other cross-functional departments, promoting effective communication and coordination. What you’ll do - Serve as a first-line resource for team support. - Act as a culture and change champion with a growth mindset. - Manage a caseload and deliver exemplary member-centric care as part of the interdisciplinary team. - In partnership with leaders, identify solutions to resolve gaps and barriers within process and/or member care; such as, escalation resolution, service recovery, etc. - Function as a subject matter expert (SME) for interdisciplinary departments. - Provide support for the onboarding of new team members. - Deliver coaching and mentoring for quality improvement, best practices, and help drive performance. - Utilize metrics and data to shape daily activities. - Support and motivate a team of nurses to adhere to standards of practice and operational processes. - Ability to present to internal and external customer-facing stakeholders. What we’re looking for Education Requirements - BSN or RN with bachelor's degree with a minimum of 5 years of Clinical Experience or AAS or ADN degree with a minimum of 7 years of Clinical Experience General requirements - 1 Year of telephonic nursing - Current/valid Registered Nurse License - Experience leading a team of nurses - Proficiency in navigating technologies including: EMR, professional technology platforms while multitasking effectively (listening, typing, member interaction). - Flexibility and adaptability in a dynamic healthcare environment, with strong teamwork - Empathetic listener and communicator - Commitment to continuing education Nice to have - Minimum of 2-3 years of direct patient care or case management. - Certified Case Manager (CCM) certification or commitment to obtain within one year of hire. - Experience in one or more of the following: utilization management, triage, managed care, and discharge planning. - Familiarity with health plans, population health, and value-based healthcare programs. - (RN) license with compact licensure. As a remote position, the salary range for this role is: $106,000—$106,000 USD Who we are Transcarent is the One Place for Health and Careᵀᴹ, bringing medical, pharmacy, and point solutions together with the WayFindingᵀᴹ experience, the first and only generative AI-powered health and care platform for health consumers. Our WayFinding experience, paired with transparent and consumer-driven pharmacy care, 2nd.MD expert medical opinions, and virtual primary care, works seamlessly with comprehensive Care Experiences – Cancer Care, Surgery Care, and Weight Health – to support people with all of their health needs, simple or serious. More than 1,700 employers and health plans rely on us to provide information, guidance, and care, empowering health consumers with more choice, an experience they love, access to higher-quality care, and lower costs for 21 million Members. For more information, visit transcarent.com, and follow us on LinkedIn. At Transcarent, our values guide everything we do: - People First: We prioritize our Members, clients, and each other in every decision - Care: Every decision starts with improving health and care for our Members - Resilience: We push boundaries and take the uncharted path to change an industry - Results: We take ownership, solve with speed, and deliver for our people and each other - Humble and Human: We lead with humility, bring fun to tough moments, and go further together Total Rewards Individual compensation packages are based on a few different factors unique to each candidate, including primary work location and an evaluation of a candidate’s skills, experience, market demands, and internal equity. Salary is just one component of Transcarent's total package. All regular employees are also eligible for the corporate bonus program or a sales incentive (target included in OTE) as well as stock options. Our benefits and perks programs include, but are not limited to: - Competitive medical, dental, and vision coverage - Competitive 401(k) Plan with a generous company match - Flexible Time Off/Paid Time Off, 13 paid holidays - Protection Plans including Life Insurance, Disability Insurance, and Supplemental Insurance - Mental Health and Wellness benefits Transcarent is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. If you are a person with a disability and require assistance during the application process, please don’t hesitate to reach out! Research shows that candidates from underrepresented backgrounds often don’t apply unless they meet 100% of the job criteria. While we have worked to consolidate the minimum qualifications for each role, we aren’t looking for someone who checks each box on a page; we’re looking for active learners and people who care about disrupting the current health and care with their unique experiences.

• To aid and assist in providing direction, instruction, and guidance to a team of individuals with the purpose of training and developing staff. • Works with the CBO A/R Manager to manage projects and develop process improvements. • Provides supervisory guidance to the team as directed by the A/R Manager. • Perform all functions with a high level of discretion and professionalism. • Provides team members assistance with day-to-day questions. • Assist management with employee audits, new hire training, projects, and filling the needs of the team as assigned.

• Review medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes. • Perform various coding assignments under the direction of Coding Management. • Provide feedback regarding documentation and coding issues. • Utilize software applications and coding references to perform coding related tasks. • Assist with training.