Ensemble Health Partners
Ensemble Health Partners
Ensemble Health Partners अस्पतालों, स्वास्थ्य प्रणालियों और उनसे संबद्ध चिकित्सक समूहों के लिए राजस्व चक्र प्रबंधन सेवाएँ प्रदान करता है। इसकी एंड-टू-एंड सेवाओं में अनुभवी और प्रमाणित राजस्व चक्र पेशेवरों को उन्नत तकनीक तथा एआई के साथ जोड़ा गया है, जिससे स्वास्थ्य सेवा संगठन वसूली में सुधार कर सकें, अस्वीकृत दावों और कम भुगतानों का समाधान कर सकें, लागतों पर नियंत्रण रख सकें और मरीजों के लिए अधिक सुसंगत वित्तीय अनुभव तैयार कर सकें। कंपनी प्रदाता संगठनों के साथ निकटता से काम करके वित्तीय संचालन को मजबूत करने और टिकाऊ विकास में सहायता करती है।

Outpatient Coding Auditor – Hybrid, United States

Review outpatient medical records and billing codes for healthcare revenue-cycle clients. Identify compliance gaps and improve coding accuracy through audits, education, reporting, and client support.

विवरण

  • Conduct outpatient coding audits under indirect supervision
  • Review outpatient accounts for accurate diagnoses, CPT, HCPCS, CCI edits, and modifier assignment
  • Use ICD-10-CM, CPT, HCPCS, CPT Assistant, Coding Clinic, CMS, and NCCI guidance in audit work
  • Support client system education by evaluating accounts against clinical documentation, coding and CDI guidance, and regulatory standards
  • Document root-cause issues using spreadsheets, account examples, and claim examples
  • Research governmental, payer-specific, hospital-specific, regulatory, and published requirements
  • Advise clients on coding and billing requirements
  • Support executive summary reports, educational activities, and client coding companion training
  • Achieve productivity standards and maintain coding certification requirements
  • Participate in coding conferences, workshops, and internal sessions covering coding and regulatory updates
  • Deliver organized and efficient customer service
  • Travel to and work onsite at client, temporary, or corporate offices as business needs require

आवश्यकताएँ

  • At least three years of outpatient facility coding experience
  • At least three years of auditing experience
  • Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements
  • Understanding of legal, regulatory, and policy compliance issues involving medical coding, billing procedures, and documentation
  • Awareness of current and emerging requirements and trends in medical coding procedures
  • Ability to communicate medical information clearly to professional practitioners and the general public
  • Ability to adapt medical billing procedures, protocols, and data management systems
  • Ability to guide and train professional and technical staff
  • Proficiency with Microsoft Office, including Word, Excel, and PowerPoint
  • Openness to innovation, including artificial intelligence
  • Residence in and authorization to work within the United States
  • High school diploma or GED
  • At least one current professional certification: CPC, CCS, RHIA, or RHIT

लाभ

  • Bonus incentive opportunities
  • Paid certification support
  • Tuition reimbursement
  • Comprehensive benefits covering healthcare, time off, retirement, and well-being programs
  • Career advancement opportunities
  • Professional development opportunities
  • Quarterly and annual incentive programs
  • Remote work flexibility

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