Outpatient Facility Coding Auditor

February 18

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Ensemble Health Partners

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Ensemble Health Partners is a leading provider of revenue cycle management (RCM) services for healthcare organizations. They offer an end-to-end RCM solution that helps hospitals, health systems, and affiliated physician groups optimize their revenue cycles, reduce denials and underpayments, and enhance patient experiences using a combination of expert management and advanced technology. Ensemble Health Partners leverages certified operators and AI to deliver consistent results, improve collections, and support future growth for healthcare providers. They are recognized for their robust client partnerships and commitment to delivering reliable revenue lift and cost savings for their clients.

Revenue cycle consulting • Revenue cycle assessments • Revenue recovery • Revenue Cycle • EPIC

10,000+ employees

⚕️ Healthcare Insurance

☁️ SaaS

🏢 Enterprise

💰 Private Equity Round on 2022-03

📋 Description

• The Outpatient Facility Coding Auditor integrates medical coding principles and objectivity in the performance of outpatient coding audit activities. • Draws on ICD10CM, CPT and CMS coding expertise and industry knowledge to substantiate coding principles to determine potential billing/coding issues, and quality concerns. • Under indirect supervision, the Coding Auditor will audit the quality of all outpatient work types to assure appropriateness and accuracy of Diagnoses, CPT, HCPCS, CCI edits, modifier assignment in accordance with ICD10 CM, CPT, HCPCS, CPT Assistant, Coding Clinic, Center of Medicare and Medicaid (CMS) guidelines, and National Correct Coding Initiatives (NCCI).

🎯 Requirements

• 3+ years of outpatient facility coding experience • 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 procedures requirements • Ability to clearly communicate medical information to professional practitioners and/or the general public • Ability to adapt and modify medical billing procedures, protocol, and data management systems to meet specific operating requirements • Ability to provide guidance and training to professional and technical staff in area of expertise • Competent with the use of all Microsoft Office applications, including Word, Excel, and Power Point.

🏖️ Benefits

• Bonus Incentives • Paid Certifications • Tuition Reimbursement • Comprehensive Benefits • Career Advancement