Physician Coding Auditor (Remote)

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. 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. Customer Obsession: Bonus IncentivesPaid CertificationsTuition ReimbursementComprehensive BenefitsCareer AdvancementThis position pays between $57,400 to $99,000 annually based on experienceThe Physician Coding Auditor 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. Ability to code and a clear understanding of the coding principles and guidelines for various specialties including Neurosurgery, Intervention Radiology, ENT, General Surgery, Cardiology, Anesthesia, Emergency Department.Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at HIM facility coding for both inpatient and outpatient accounts. Performs annual performance, randomized and quality assurance reviews to assess comprehension of training efforts. Also assists in CHAN and other external audits.Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs. Assists with Task Force, CDE and quality department related education. Creates presentations, develops learning material, handbook and other educational materials.Training - Assists with training new and existing staff. Develops all training materials and coding aids for both formal training and use by coders in daily work. Identifies coders to be cross-trained and suggests areas for training improvement. Assists in the implementation and administration of effective systems, processes, and procedures.Coordinating - Coordinates the presentation of ongoing professional seminars and materials via audio-conferences, webinars, and other publications. Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW (Included Provider verbiage). Assists with the creation of various documents and reports as requested. Immediately provides reports related to compliance risks when requested.Experience We Love:5+ years of coding experience.3+ years of auditing experience.Proficiency in multiple EMR’s, encoders, and the Microsoft Office suite.Consistently achieves quality and productivity standards.Ability to read, write and effectively communicate in English.Ability to understand medical/surgical terminology.Position may require 20-40% travel to client sites.This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.Associates Degree or Equivalent ExperienceRequired 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)#LI-HB1#LI-REMOTEJoin an award-winning companyFive-time winner of “Best in KLAS” 2020-2022, 2024-2025Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-202422 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023Energage Top Workplaces USA 2022-2024Fortune Media Best Workplaces in Healthcare 2024Monster Top Workplace for Remote Work 2024Great Place to Work certified 2023-2024InnovationWork-Life FlexibilityLeadershipPurpose + ValuesBottom line, we believe in empowering people and giving them the tools and resources needed to thrive. 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.Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Ensemble 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 View email address on click.appcast.io equity;