Physician Coding Auditor

🕒 March 8

🔔 Pennsylvania, Tennessee, +1 more states – Remote

🔔 Pennsylvania – Remote 🎸 Tennessee – Remote ⚔️ Virginia – Remote

💵 $57.4k - $99k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

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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

• Develops and implements strategic needs analyses and training plans for coding leadership • Coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW • Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures • Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts • Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards • Monitors and audits inpatient and outpatient accounts across the system • Assesses the educational needs of coding staff and providers and develops programs or researches educational resources to meet those needs • Assists with edits, denials and appeals, as well as training new and existing staff • Coordinates the presentation of ongoing professional seminars and materials via audio-conferences, webinars, and other publications • Provides reports of audit findings to coding management, individual coders and leadership as needed/requested

🎯 Requirements

• 5+ years of coding experience • 3+ years of auditing experience • 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 • Position may require 20-40% travel to client sites • Minimum Education: Associates Degree or Equivalent Experience • Required Certifications: Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA or CCS Preferred): CPC (Certified Professional Coder) CCS-P (Certified Coding Specialist-Phys Based) CCS (Certified Coding Specialist) CMPA (Certified Professional Medical Auditor) RHIA (Registered Health Information Administrator) RHIT (Registered Health Information Technician)

🏖️ Benefits

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