Pediatric Specialized Coder

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 will pay between $26.30 and $32.20/hr based on experience

The Pediatric Specialized Coder is a certified coder with expert knowledge in physician coding. This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coders role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education.

Job Responsibilities:

• Code claims directly from the medical record/operative report according to coding guidelines.

• Accurate and timely completion of work queues as assigned.

• Track and identify trends within charge review and follow up work queues and assist leadership in the resolution of those trends and/or educational needs. 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.

• Provide and/or assist with provider education, as well as the development of educational tools. Communicates professionally with physicians, management, and peers.

• 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.

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