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Ensemble Health Partners

End-to-end revenue cycle management for hospitals

Outpatient Coding Auditor

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeRemote in USA$57.4k - $99k

About the Job

Requirements

  • At least 3 years of outpatient facility coding experience.
  • At least 3 years of auditing experience.
  • Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements.
  • Knowledge of legal, regulatory, and policy compliance issues related to medical coding and billing procedures and documentation.
  • Knowledge of current and developing issues and trends in medical coding procedure requirements.
  • Ability to clearly communicate medical information to professional practitioners and/or the general public.
  • Ability to adapt and modify medical billing procedures, protocols, and data management systems to meet specific operating requirements.
  • Ability to provide guidance and training to professional and technical staff in the area of expertise.
  • Competence using Microsoft Office applications, including Word, Excel, and PowerPoint.
  • Openness to innovation, including artificial intelligence, to explore better processes and ways to alleviate friction and improve patient and client experiences.
  • Must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
  • Must have and keep current at least one of the following professional certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT).
  • Minimum education: high school diploma or GED.
  • Must reside and be authorized to work within the United States.

Responsibilities

  • Perform outpatient coding audit activities using medical coding principles and objectivity to identify potential billing or coding issues and quality concerns.
  • Participate in client system education to gain the knowledge necessary to audit client accounts and ensure coding is supported by patient clinical documentation, coding and clinical documentation improvement guidelines, and other applicable regulatory standards and guidelines.
  • Maintain documentation, spreadsheets, account examples, and claim examples of root-cause issues.
  • Search governmental, payer-specific, hospital-specific, regulatory-body, and literature rules, regulations, and guidelines to identify coding and billing requirements and make recommendations to clients.
  • Assist in developing and coordinating executive summary reports and client coding companion education and training related to coding audit outcomes.
  • Meet established productivity standards for coding audits and coding certification requirements.
  • Attend coding conferences, workshops, and in-house sessions to receive updated coding information and learn about changes in coding and regulations.
  • Provide customer service in an organized and efficient manner.

Desired Qualifications

  • Certified Coding Specialist (CCS) certification is preferred.

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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