REMOTE Healthcare Coding Auditor

Specialized Coders WantedEnsemble 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. Bonus IncentivesPaid CertificationsTuition ReimbursementComprehensive BenefitsCareer AdvancementThis position will pay between $29.75 and $32.70/hr based on experienceSpecialized Coders Wanted —$3,000 Sign?On Bonus Awaits -- We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties.* This role is an onsite role located at Tower – Reading Hospital in West Reading, PA.The Specialized Coder is a certified coder with expert knowledge in physician coding for Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery. This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education.Code claims directly from the medical record/operative report according to coding guidelines.Assists with research of denied claims.Maintains compliance with established corporate and departmental policies and procedures, quality improvement program, customer service and productivity expectations.Must be able to achieve individual quality and productivity performance metrics in daily duties as set by coding leadership.Participates in all educational activities including coding meetings/calls necessary to provide information relating to coding and compliance. Remains abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in Coding and mentors team members regarding coding guidelines and accuracy. Assists with training of other coders.Takes initiative for learning new skills and willingness to participate and share expertise on projects, committees and other activities as deemed appropriate. Demonstrates personal responsibility for job performance.Extensive knowledge/experience in physician coding with expert knowledge in a specific coding specialty and the ability to provide education/support to coding team and providers.Possible travel for education sessions, CME events, etc. Required Experience:3+ years of coding experienceExtensive knowledge/experience in physician coding with expert knowledge in Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery coding specialty and the ability to provide education/support to coding team and providers.Knowledge of Medical Terminology, ICD-10-CM, CPT, and HCPCS.PC and Computer application knowledge and experience. Navigational and basic functional expertise in Microsoft business software (Excel, Word, PowerPoint).Ability to multi-task and prioritize needs to meet short- and long-term timelines.Experience with EPIC and previous use of coding software tools.Minimum Education:High School Diploma or GEDRequired Certifications: Candidate must have and keep current at least one of the following professional certifications (CPC, preferred with the addition of CCVTC and/or CIRCC):CPC (Certified Professional Coder)CCS (Certified Coding Specialist)RHIA (Registered Health Information Administrator)RHIT (Registered Health Information Technician)Join 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 2023-2024Bottom 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;