Coding Auditor - Physician Revenue Cycle

Ensemble Health Partners Philadelphia, Pennsylvania
revenue revenue cycle cycle health healthcare people education compliance ccs e&m revenue revenue cycle cycle
January 23, 2023
Ensemble Health Partners
Philadelphia, Pennsylvania
Thank you for considering a career at Ensemble Health Partners!Ensemble Health Partners 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.
Ensemble keeps communities healthy by keeping hospitals healthy.
We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful.
This is why our people are the most important part of who we are.
By empowering them to challenge the status quo, we know they will be the difference.
The Opportunity:
Job SummaryEnsemble Health Partners is actively hiring Outpatient (OP) Auditors and Educators to join our diverse and dynamic team of Health Information professionals.As an Physician Quality Auditor-Educator, you will perform quality reviews of providers and coders and deliver education in various methodologies.Duties/Responsibilities:
Performs quality reviews of coders ensuring accuracy with coding guidelines and policies for complete, precise, and consistent coding.Reviews include Outpatient ICD-10, CPT, Modifiers, ED E&M and professional coding and E&M assignments.Knowledge expert and maintains up-to-date working knowledge of coding guidelines in order to act as a resource and point person for issues and question for coders, customers or project teams.Provides education to our coding associates and leaders as required by the deliverables of our SLAReviews physician documentation for coding appropriateness and accuracy following coding guidelines.Provides feedback to coders and providers on coding corrections, appropriately citing authoritative resources.Assists with the interpretation of codes and other information requested for accurate code assignment.Communicate with management regarding clinical, coding, and reimbursement issues as needed.Function in a professional, efficient, and positive manner with strong critical thinking and decision-making skills.Utilizes our client's electronic medical record (EMR), encoder, and computer-assisted coding (CAC) software as directed.Ensures optimal reimbursement while maintaining compliance with CMS and third-party payor policies and guidelines.Maintains compliance with Ensemble and client's coding policies, procedures, and guidelines.Consistently maintains 95% or above accuracy rate while meeting established productivity standards.Completes daily production log and daily time keeping requirements.Attends and participates in Ensemble and client meetings as requested.Completes coding continuing education and maintains auditing credentials.Ensures HIPAA compliance at all times.Minimum Requirements5+ 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.Required CertificationsCandidates 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)Join an award-winning companyThree-time winner of "Best in KLAS" 2020-#2 Top Workplaces Healthcare Industry Award2022 Top Workplaces USA Award2022 Top Workplaces Culture Excellence AwardsInnovationWork-Life FlexibilityLeadershipPurpose + ValuesBottom line, we believe in empowering people and giving them the tools and resources needed to thrive.
A few of those include:
Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture - Ensemble is a place where associates can do their best work and be their best selves.
We put people first, last and always.
Our culture is rooted in collaboration, growth, and innovation.Growth - We invest in your professional development.
Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.FEDERAL:
Equal Employment Opportunity Commission (EEOC) The U.S.
Equal Employment Opportunity Commission (EEOC) has released a new EEOC poster.
The new Know Your Rights poster replaces the previous EEO is the Law poster.
Among other changes, the newly revised poster clarifies that sex discrimination includes discrimination based on sexual orientation or gender identity, includes information about equal pay discrimination and protected veteran status for federal contractors, and uses plain language to be more easily understood by employees.
This posting appears on the Federal Combination Poster.
Revision Date:
10/22 Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.
If you require accommodation in the application process, please contact .
@ensemblehp.com.
EEOC is the LawFMLA Rights - EnglishLa FMLA Espa ol

Report this job

Similar jobs near me

Related articles