Quality 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

• Conduct monthly and quarterly quality assessments of individual codes • Provide guidance and education to coding associates and leaders on coding guidelines • Perform quality assurance follow-up reviews • Serve as a subject matter expert for professional fee coding • Monitor and audit inpatient and outpatient accounts • Create presentations and educational materials for coding staff • Assist operational coding team with initial coding and denials • Train new and existing staff • Develop training materials and coding aids • Report audit findings to coding management and leadership

🎯 Requirements

• 5+ years of coding experience • 3+ years of auditing experience • Proficiency in multiple EMR’s • Proficiency in encoders • Proficiency in Microsoft Office suite • Educated in HIPAA regulations • Ability to maintain strict confidentiality • Ability to organize and complete work in a timely manner • Ability to read, write and effectively communicate in English • Understanding of medical/surgical terminology • Above average written and verbal communication skills • Must be inquisitive and demonstrate openness to innovation

🏖️ Benefits

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