Ensemble Health Partners
Ensemble Health Partners
5.001 – 10.000 Angajați
AsigurăriConsultanțăLogistică
Ensemble Health Partners oferă servicii de gestionare a ciclului veniturilor pentru spitale, sisteme de sănătate și grupuri de medici afiliate. Oferta sa integrată combină profesioniști cu experiență și certificați în gestionarea ciclului veniturilor cu tehnologii avansate și inteligență artificială, pentru a ajuta organizațiile din domeniul sănătății să îmbunătățească încasările, să soluționeze refuzurile și plățile insuficiente, să controleze costurile și să creeze o experiență financiară mai consecventă pentru pacienți. Compania colaborează îndeaproape cu organizațiile furnizorilor de servicii medicale pentru a consolida operațiunile financiare și a sprijini creșterea durabilă.

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.

Descriere

  • 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

Cerințe

  • 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

Beneficii

  • 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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