Forensic Medical Coder

Ensemble Health Partners · Ohio, OH, United States

FULL TIME

Job Description

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 Incentives

Tuition Reimbursement

General Surgery, Rural Health, Urology, Nephrology, Gyno Oncology, Cardio, Trauma, Plastics Surgery, Ortho, Vascular, Neurosurgery and Reproductive Endo*

The Forensic Coder is a certified coder with expert knowledge in front and back end coding. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership.

Complete root cause analysis of identified front and/or back end coding opportunities as assigned.

Support/lead opportunity improvement projects as assigned.

Research and provide coding guidance for new client service lines/services.

Maintains compliance with established corporate and departmental policies and procedures, quality improvement program, customer service and productivity expectations.

Maintain workflow/process knowledge of each functional area of coding.

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.

Possible travel for education sessions, CME events, etc. Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.

Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.

Minimum of 4 years coding experience required, 5 years preferred

Extensive knowledge/experience in physician front end and back end coding with expert knowledge in a multiple coding specialties and the ability to provide education/support to coding team and providers as well as strong analytic skills.

Knowledge of Medical Terminology, IDC-10, CPT, and HCPCS.

PC and Computer application knowledge and experience. Navigational and basic functional expertise in Microsoft business software (Excel, Word, PowerPoint).

Excellent skills of organization, communication, time management, financial analysis, written policy, trouble shooting and problem solving.

Ability to multi-task and prioritize needs to meet short and long term timelines. Mobile phone access with adequate data to handle business needs is required.

Experience with EPIC and previous use of coding software tools. Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.

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.

High School Diploma or GED

AAPC or AHIMA Coding Certification: CPC or CCS

LI-REMOTE

Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024

Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

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 equity;

Company	Ensemble Health Partners
Location	Ohio, OH, United States
Type	FULL TIME
Niche	tech

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Forensic Medical Coder

Job Description

Minimum of 4 years coding experience required, 5 years preferred