Ensemble Health Partners

Innovation in Revenue Cycle Management

Physician Coding Auditor

AuditorAuditorFull TimeRemoteTeam 5,001-10,000H1B No SponsorCompany SiteLinkedIn

Location

Pennsylvania + 2 moreAll locations: Pennsylvania, Tennessee, Virginia

Posted

8 days ago

Salary

$57.4K - $99K / year

Associate Degree5 yrs expEnglish

Job 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

Job 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

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