Forensic Medical Coder

🕒 March 31

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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

• Complete root cause analysis of identified front and/or back end coding opportunities as assigned. • Support/lead opportunity improvement projects as assigned. • Research and provide coding guidance for new client service lines/services. • Maintains compliance with established corporate and departmental policies and procedures, quality improvement program, customer service and productivity expectations. • Maintain workflow/process knowledge of each functional area of coding. • Provide and/or assist with provider education, as well as the development educational tools. • Communicates professionally with physicians, management, and peers. • Participates in all educational activities including coding meetings/calls necessary to provide information relating to coding and compliance. • Remains abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in Coding and mentors team members regarding coding guidelines and accuracy. • Assists with training of other coders. • Takes initiative for learning new skills and willingness to participate and share expertise on projects, committees and other activities as deemed appropriate. • Demonstrates personal responsibility for job performance. • Other duties as assigned by Manager/Supervisor.

🎯 Requirements

• Minimum of 4 years coding experience required, 5 years preferred • Extensive knowledge/experience in physician front end and back end coding with expert knowledge in multiple coding specialties • Ability to provide education/support to coding team and providers as well as strong analytic skills. • Knowledge of Medical Terminology, IDC-10, CPT, and HCPCS. • PC and Computer application knowledge and experience. • Navigational and basic functional expertise in Microsoft business software (Excel, Word, PowerPoint). • Excellent skills of organization, communication, time management, financial analysis, written policy, troubleshooting and problem solving. • Ability to multi-task and prioritize needs to meet short and long term timelines. • Mobile phone access with adequate data to handle business needs is required. • Experience with EPIC and previous use of coding software tools. • Dual Certification. • Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

🏖️ Benefits

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