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Ensemble Health Partners
Ensemble Health Partners
5,001 – 10,000 Employees
ConsultingInsuranceLogistics
Ensemble Health Partners provides revenue cycle management services for hospitals, health systems, and affiliated physician groups. Its end-to-end offering combines experienced, certified revenue cycle professionals with advanced technology and AI to help healthcare organizations improve collections, address denials and underpayments, control costs, and create a more consistent patient financial experience. The company works closely with provider organizations to strengthen financial operations and support sustainable growth.
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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.

USUnited States
$57,400 – $99,000 / year
HybridFull-timeMiddleSeniorEnglish RequiredAuditor

Description

  • 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

Requirements

  • 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

Benefits

  • 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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