HCC Physician Coding Auditor

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:

CAREER OPPORTUNITY OFFERING:

• Bonus Incentives

• Paid Certifications

• Tuition Reimbursement

• Comprehensive Benefits

• Career Advancement

• This position pays between $51,700 – $99,000 based on experience 

­­­­The HCC 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. 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.

Job Responsibilities:

• Quality Review - Monitors and audits professional fee risk adjustment accounts across all contracted clients. Performs annual performance, randomized and quality assurance reviews to assess comprehension of training efforts.

• Educating - Assesses the educational needs of coding staff and providers contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or research educational resources to meet those needs. Creates and delivers presentations develops learning material, including recordings, PowerPoints, Pocket Cards, Quick Reference Guides, handbook and other educational materials

• Edits/Denials/Coding - Assists with edits, denials, and appeals. Assists with coding and working holds on an as needed basis

• Training - Assists with training providers, client leadership, in addition to, 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 …