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Ensemble Health Partners

End-to-end revenue cycle management for hospitals

Physician Coding Auditor

Internal Audit & ControlsConfirmed live in the last 24 hours
Full-time$57.4k - $99k /yr

About the Job

Requirements

  • At least 5 years of coding experience.
  • At least 3 years of auditing experience.
  • Proficiency with multiple electronic medical records systems, encoders, and the Microsoft Office suite.
  • Education in Health Insurance Portability and Accountability Act regulations and the ability to maintain strict confidentiality of patient and client information.
  • Ability to achieve and maintain quality and productivity standards.
  • Ability to organize and complete work in a timely manner.
  • Ability to read, write, and effectively communicate in English.
  • Ability to understand medical and surgical terminology.
  • At least one current professional certification: Certified Professional Coder, Certified Coding Specialist–Physician-Based, Certified Coding Specialist, Certified Professional Medical Auditor, Registered Health Information Administrator, or Registered Health Information Technician.
  • An associate degree or equivalent experience.
  • Willingness and ability to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
  • Ability to remain inquisitive and open to innovation, including artificial intelligence, to explore better processes and improve patient and client experiences.

Responsibilities

  • Develop and implement strategic needs analyses and training plans for coding leadership.
  • Coordinate and evaluate curriculum development and prepare and deliver training for medical coders and contracted or employed providers outlined in the client statement of work.
  • Provide guidance and leadership to coding and billing management in implementing and administering effective systems, processes, and procedures.
  • Perform annual performance reviews and quality assurance reviews to assess comprehension of training efforts.
  • Serve as a subject matter expert for professional fee coding across specialties including neurosurgery, interventional radiology, otolaryngology, general surgery, cardiology, anesthesia, and the emergency department.
  • Monitor and audit inpatient and outpatient accounts across the system, including health information management facility coding.
  • Assist with CHAN and other external audits.
  • Assess educational needs of coding staff and providers and develop programs or research educational resources to meet those needs.
  • Assist with task force, continuing education, and quality department education.
  • Create presentations, learning materials, handbooks, and other educational materials.
  • Assist with edits, denials, and appeals, and assist with coding and working holds as needed.
  • Assist with training new and existing staff.
  • Develop training materials and coding aids for formal training and coders’ daily work.
  • Identify coders for cross-training and suggest training improvements.
  • Coordinate ongoing professional seminars and distribute materials through audio conferences, webinars, and publications.
  • Maintain education records and attendance records for coding-related educational activities.
  • Serve as a technical resource for involved personnel and ensure information is accurate, current, and compliant with professional coding standards.
  • Provide audit-finding reports to coding management, individual coders, leadership, and applicable providers.
  • Assist with creating requested documents and reports and immediately provide reports concerning compliance risks when requested.
  • Perform miscellaneous job-related duties as assigned.

Desired Qualifications

  • Certified Professional Coder, Certified Professional Medical Auditor, or Certified Coding Specialist certification is preferred.
  • The position may require 20–40% travel to client sites.

About the Company

Ensemble Health Partners

End-to-end revenue cycle management for hospitals

Ensemble Health Partners provides end-to-end revenue cycle management for hospitals and health systems. It handles the entire process from patient intake to final payment, with teams and technology embedded into the provider's operations and a revenue model tied to performance improvements. The company uses its proprietary EIQ platform (analytics, AI, and workflow automation) to optimize revenue cycle processes, reduce insurance denials, and speed cash collection, managing more than $39 billion in net patient revenue. Its approach differentiates it by being a true managed-services partner with full accountability for financial outcomes and a track record of meeting initial client goals. The overarching goal is to improve healthcare providers’ financial performance so they can focus on patient care.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Cincinnati, OH
Founded
2014

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