DRG Validation Coding Auditor

🕒 December 30, 2025

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Ensemble Health Partners

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

☁️ SaaS

🏢 Enterprise

💰 Private Equity Round on 2022-03

Healthcare Insurance • SaaS • Enterprise

Ensemble Health Partners is a leading provider of revenue cycle management (RCM) services for healthcare organizations. They offer an end-to-end RCM solution that helps hospitals, health systems, and affiliated physician groups optimize their revenue cycles, reduce denials and underpayments, and enhance patient experiences using a combination of expert management and advanced technology. Ensemble Health Partners leverages certified operators and AI to deliver consistent results, improve collections, and support future growth for healthcare providers. They are recognized for their robust client partnerships and commitment to delivering reliable revenue lift and cost savings for their clients.

📋 Description

• Perform documentation and coding audits for all acute inpatient services for clients • Identify coding errors, compliance, and educational opportunities • Optimize reimbursement by ensuring accurate codes and documentation • Conduct independent reviews and apply coding principles • Verify coding accuracy and clinical indicators • Maintain productivity and quality goals

🎯 Requirements

• 5+ years of coding experience • 3+ years of facility coding audit experience (such as DRG and APC Validation) • Proficiency in multiple EMR’s, encoders, and the Microsoft Office suite • Educated in HIPAA regulations; must maintain strict confidentiality of patient and client information • Consistently achieves quality and productivity standards • Ability to organize and complete work in a timely manner • Ability to read, write and effectively communicate in English • Ability to understand medical/surgical terminology • Above average written and verbal communication skills

🏖️ Benefits

• Bonus Incentives • Paid Certifications • Tuition Reimbursement • Comprehensive Benefits • Career Advancement