
5001 - 10000 employees
âď¸ Healthcare Insurance
âď¸ SaaS
đ˘ Enterprise
đ° 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.
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5001 - 10000 employees
âď¸ Healthcare Insurance
âď¸ SaaS
đ˘ Enterprise
đ° 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.
⢠Implements and continuously develops onboarding for all new Clinical Documentation Specialists (CDSs) for mentoring and education needs. ⢠Leads and coordinates training of new CDI staff. ⢠Collaborate with CDI leadership and other clinicians to facilitate the ongoing relevance of department specific orientation content, educational materials, and training programs/resources. ⢠Formulates customized education to other healthcare professionals based on audience and areas of opportunity. ⢠Audiences include, but are not limited to CDS/Coders, providers, mid-levels, nursing, dietary, Quality, etc. Education provided includes 1:1 education and/or group education. ⢠Interacts with medical staff members, directors, and senior hospital leadership staff as needed. ⢠Makes recommendations for documentation improvement and queries to capture care and intensity of services as supported within the medical record documentation. ⢠Demonstrates understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and the impact of procedures on the final Diagnosis Related Group (DRG). ⢠Educate members of the CDI team and providers on the review functions within the CDI program to meet and maintain enterprise goals and objectives, regulatory compliance, policies and procedures and standard operating procedures. ⢠Assist with the development and maintenance of system CDI policies and procedures. ⢠Remain current on CDI guidelines and practices. ⢠Ensures program compliance by following coding guidelines and coding clinics. ⢠Remains current with coding information to ensure accuracy of codes assigned based on documentation. ⢠Serve as a key resource for accurate and ethical documentation standards and regulatory requirements. ⢠Demonstrates the ability to draft compliant queries as endorsed by AHIMA and ACDIS. ⢠Performs medical record reviews for completeness and accuracy in capturing severity of illness, risk of mortality and clinical validation. ⢠Determines if professionally recognized standards of quality care are met. ⢠Audits CDSs as needed to ensure that system objectives are met. ⢠Develops educational plan for individual CDS based on Quality Audit (QA) outcomes. ⢠Provides 1:1 mentoring as needed. ⢠Oversees and coordinates SMART related education, meetings, and requirements for the department and as instructed by the SMART department.
⢠3+ years related experience with clinical documentation and/or coding ⢠Experience with multiple EMRs (Epic, Meditech and Cerner) ⢠Detail oriented and self-motivated ⢠Strong organizational skills ⢠Excellent speaking and presentation skills ⢠Working knowledge of Microsoft applications, including creation of Power Point presentations. ⢠Could require minimal travel ⢠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
⢠Bonus Incentives ⢠Paid Certifications ⢠Tuition Reimbursement ⢠Comprehensive Benefits ⢠Career Advancement
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