Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
This role is critical in conducting provider audits focusing on E&M, Surgical, and in-office procedures, analyzing documentation, coding, and patient history comprehensively.
Job Responsibilities:
- Perform manual audits based on provider, client, or coding concerns, starting with a 30-chart probe for documentation or coding discrepancies.
- Deliver audit results to the director and implement necessary corrections.
- Identify education opportunities within audits to address discrepancies.
- Collaborate within a small team and work independently.
- Conduct research on coding scenarios and ensure accuracy.
- Abstract codes from various clinical notes with precision.
- Help develop workflows and best practices.
- Participate in a 90–120 day training program on audit workflows.
Experience Requirements:
- 5+ years of professional fee coding and education experience, preferably in Cardiology, General Surgery, Neurosurgery, or Ob GYN.
- Expert knowledge in E&M leveling, surgical, and in-office procedures coding.
- Strong understanding of documentation and coding compliance.
- Experience in auditing and education with effective communication skills.
- Proactive researcher with ability to navigate multiple EHR systems.
- Self-motivated and adaptable.
- Willingness to travel 20-40% via air or car.
Education & Certifications:
- Bachelor's Degree or equivalent experience required.
- Current certifications required: CPC, CPMA, CCS, CCS-P, RHIA, RHIT, CIC, or COC.
This is a remote position, requiring occasional travel to client or corporate sites as needed.
Benefits & Culture:
- Bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits.
- Career advancement opportunities.
- Inclusive culture focused on innovation, collaboration, and associate well-being.
- Recognized multiple times as a top workplace and leader in healthcare revenue cycle management.
- 5+ years of professional fee coding and educational experience with specialties preferred.
- Expert-level coding knowledge in E&M leveling, surgical, and in-office procedures.
- Strong understanding of documentation and coding compliance.
- Experience with auditing and education, communication skills.
- Ability to research and resolve coding scenarios.
- Ability to navigate or learn multiple EHR systems.
- Self-motivated, adaptable.
- Willingness to travel 20-40%.
- Bachelor's degree or equivalent.
- Current certification (CPC, CPMA, CCS preferred, or related certifications).
- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits package
- Career advancement opportunities
- Supportive culture with emphasis on associate well-being
- Recognition and incentive programs
- Work-life flexibility
- Remote work opportunity with required travel
Location
Ohio, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$62,500 - $119,700
Remote work allowed
Yes
Posted
2 weeks ago