Ensemble Health Partners

5 job(s) at Ensemble Health Partners

Ensemble Health Partners
06/22/2026
Full time
CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $20.45 - $24.70/hr based on experience We are seeking candidates with experience in multiple pro-fee specialties: Hem/Onc, Interventional Radiology, CVTS, Ortho, Podiatry, Wound Care, Rad/ONC, General Surgery, Allergy and ENT, OBGYN, Radiology and Urology The Medical Coding Specialist position reviews medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow. Follows Policies and Procedures and maintains required quality and productivity standards. Job Responsibilities: Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types. The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided. When applicable, apply the appropriate charges such as the Evaluation & Management, (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX. Correctly abstract required data per facility specifications. Perform "medical necessity checks" for Medicare and other payers as required per payment guidelines. Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis as a team, ensure timely, compliant processing of outpatient claims in the billing system. Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards. Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding, (CAC) Medical Necessity software, abstracting system, code books, and all reference materials. Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth. Experience We Love: 1 year of previous of coding experience PC and Computer application knowledge and experience. Navigational and basic functional expertise in Microsoft business software (Excel, Word, PowerPoint). Excellent organization skills, communication, time management, trouble shooting and problem solving. Ability to multi-task and prioritize needs to meet short- and long-term timelines. Experience with EPIC and previous use of coding software tools. Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. Minimum Education: High School Diploma or GED Required Certifications: AAPC or AHIMA Coding Certification: CPC-A, CPC, CCA or CCS
Ensemble Health Partners
06/18/2026
Full time
CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $92,400 - $159,450 based on experience Must have a current Epic Certification within a Revenue Cycle focused module In general, this Epic-certified position will be responsible for the following: Developing and implementing long-term best practice Epic strategy across both operations and IT Ensuring all parties involved understand the significance and impact of upcoming changes Assisting in educating operational leadership in process improvement and Epic best practices Responsible for helping to implement policies Work with Revenue Cycle leaders on reporting, work queue strategy and workflow design Help to increase revenue through standardizing workflows and process improvement Serve as the lead for Epic issues identified and new change requests Produces and reviews decision documents, SBARDs, other documents needed to support build work Runs client meetings and monitors client happiness As part of the team this position will have responsibility for some or all the following specific areas: Denial reduction DNFB/CFB reduction Late charge reduction Registration accuracy Scheduling accuracy Authorization capture Coding accuracy Overall productivity improvement Performance Monitoring/Improvement/Innovation: Works collaboratively with revenue cycle leadership and Epic IT leadership to develop best practice processes and Epic functionality Develops, with participation of revenue cycle leadership and IT, project plans and timelines for large performance improvement projects Develops weekly/monthly status reports of projects and ensures agreed upon timelines are met Advises operational leaders on Epic best practices and adheres to system guidelines Monitors Key Performance Indicators and makes recommendations on Epic workflows or enhancements that provide the greatest impact and improvement Maintains deep understanding of Epic functionality and maintains all certifications and new release updates Performs account level reviews and audits to ensure optimal system performance Produces high-quality materials for internal and external use System Build and Support: Performs system build as determined by IT change control process Participates in Integrated and User Acceptance Testing as dictated by IT change control Supports the IT team by logging tickets, keeping up with status of tickets, ensuring timely response and turnaround of tickets, and escalating tickets as necessary Education: Responsible for assisting the education department in the development of training materials, curriculum and tip sheets related to Epic Performs direct observations in operational areas to ensure Epic best practice workflows are being adhered to and makes note of any areas of educational opportunity Supports revenue cycle leadership in any Epic certification processes and serves as a subject matter expert in Epic system functionality Strives to educate revenue cycle leadership in practical Epic system knowledge to build expertise in operations New Business Support: Participates in assessments to identify opportunities for client improvement Supports sales team in advising new clients and answering inquiries about system functionality Develops materials to support sales, including marketing materials Identifies new opportunities for client engagements What Will Make You Successful: Strong implementation background Working knowledge with other revenue cycle focused Epic applications Working understanding of interface and interface messages 4 year/ Bachelors Degree preferred or equivalent experience Must have Epic Administrator Certification in a Revenue Cycle focused module 3+ years of Epic build experience in Epic revenue cycle functions (billing and patient access areas preferred) While we do not expect this position to be 100% travel, we do expect that the specialist will need to travel periodically. For this reason, the specialist should be available to travel up to 25% Strong working knowledge of the hospital and/or ambulatory revenue cycle operations Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
Ensemble Health Partners
06/18/2026
Full time
CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes . Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines . Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties. Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts. Performs initial baselines as well as quarterly performance quality assurance reviews to assess coders' comprehension and further assess ongoing education . Also assists in special project audits, as assigned. Educating - Assesses the educational needs of coding staff based on individual coder audit results and overall trends . Creates presentations, develops learning material, handbook and other educational materials. Edits/Denials/Coding - Assists operational coding team with initial coding, e dits, and denials and appeals on an as needed basis. Training - Assists with training new and existing staff. Develops all training materials and coding aids for both formal training and use by coders in daily work. Identifies coders to be cross-trained and suggests areas for training improvement. Assists in the implementation and administration of effective systems, processes, and procedures. Resource - Serves as a technical resource for all involved personnel; ensures that information is accurate and current, meeting AMA, CMS, and professional coding standards. Performs miscellaneous job-related duties as assigned. Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW . Assists with the creation of various documents and reports as requested . Immediately provides reports related to compliance risks when requested . Experience We Love: 5+ years of coding experience. 3+ years of auditing experience. Proficiency in multiple EMR's, encoders, and the Microsoft Office suite. Educated in HIPAA regulations; must maintain strict confidentiality of patient and client information. Consistently achieves quality and productivity standards. Ability to organize and complete work in a timely manner . Ability to read, write and effectively communicate in English. Ability to understand medical/surgical terminology. Above average written and verbal communication skills. Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. Minimum Education: Associates degree or equivalent experience Required Certifications: Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA or CCS Preferred): CPC (Certified Professional Coder) CCS-P (Certified Coding Specialist-Phys Based) CCS (Certified Coding Specialist) CMPA (Certified Professional Medical Auditor) RHIA (Registered Health Information Administrator) RHIT (Registered Health Information Technician)
Ensemble Health Partners
06/18/2026
Full time
CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $6 9 , 4 00 to $1 19 , 7 00 annually based on experience The DRG Clinical Documentation Integrity (CDI) Educator acts as a subject matter expert to educate, train, and develop/revise processes in coordination with leadership to assist in achieving CDI's goal of facilitating accurate and complete documentation for coding and the capture of severity, acuity, and risk of mortality and most accurate Diagnosis Related Group (DRG) assignments. Job Responsibilities: Implements and continuously develops onboarding for all new Clinical Documentation Specialists (CDSs) for mentoring and education needs. Leads and coordinates training of new CDI staff. Collaborate with CDI leadership and other clinicians to facilitate the ongoing relevance of department specific orientation content, educational materials, and training programs/resources. Formulates customized education to other healthcare professionals based on audience and areas of opportunity. Audiences include, but are not limited to CDS/Coders, providers, mid-levels, nursing, dietary, Quality, etc. Education provided includes 1:1 education and/or group education. Interacts with medical staff members, directors, and senior hospital leadership staff as needed. Makes recommendations for documentation improvement and queries to capture care and intensity of services as supported within the medical record documentation. Demonstrates understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and the impact of procedures on the final Diagnosis Related Group (DRG). Educate members of the CDI team and providers on the review functions within the CDI program to meet and maintain enterprise goals and objectives , regulatory compliance, policies and procedures and standard operating procedures. Assist with the development and maintenance of system CDI policies and procedures. Remain current on CDI guidelines and practices. Ensures program compliance by following coding guidelines and coding clinics. Remains current with coding information to ensure accuracy of codes assigned based on documentation. Serve as a key resource for accurate and ethical documentation standards and regulatory requirements. Demonstrates the ability to draft compliant queries as endorsed by AHIMA and ACDIS. Performs medical record reviews for completeness and accuracy in capturing severity of illness, risk of mortality and clinical validation. Determines if professionally recognized standards of quality care are met. Audits CDSs as needed to ensure that system objectives are met. Develops educational plan for individual CDS based on Quality Audit (QA) outcomes. Provides 1:1 mentoring as needed . Oversees and coordinates SMART related education, meetings, and requirements for the department and as instructed by the SMART department. Experience We Love: 3 + y ears related experience with clinical documentation and /or coding Experience with multiple EMRs (Epic, Meditech and Cerner) Detail oriented and self-motivated Strong organizational skills Excellent speaking and presentation skills Working knowledge of Microsoft applications, including creation of Power Point presentations. Could require minimal travel Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. Minimum Education: Bachelors Degree or Equivalent Experience Licensure Required: MD (Doctor of Medicine) OR RN (Registered Nurse) Certification Required: Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA or CCS Preferred): CCS (Certified Coding Specialist) CPC (Certified Professional Coder) CPMA (Certified Professional Medical Auditor) RHIA (Registered Health Information Administrator) RHIT (Registered Health Information Technician) AND Certified Revenue Cycle Representative (CRCR) completion within 9 months of hire
Ensemble Health Partners
06/18/2026
Full time
CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $24.65 - $27.10/hr based on experience We are seeking candidates with experience in at least one of the following; Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, Gynecology Oncology, Behavioral Health, RHC, Urology, Nephrology, Vascular, Neurosurgery and General Surgery. The Forensic Coder is a certified coder with expert knowledge in front and back end coding. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership. Job Responsibilities: Complete root cause analysis of identified front and/or back end coding opportunities as assigned. Support/lead opportunity improvement projects as assigned. Research and provide coding guidance for new client service lines/services. Maintains compliance with established corporate and departmental policies and procedures, quality improvement program, customer service and productivity expectations. Maintain workflow/process knowledge of each functional area of coding. Provide and/or assist with provider education, as well as the development educational tools. Communicates professionally with physicians, management, and peers. Participates in all educational activities including coding meetings/calls necessary to provide information relating to coding and compliance. Remains abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in Coding and mentors team members regarding coding guidelines and accuracy. Assists with training of other coders. Takes initiative for learning new skills and willingness to participate and share expertise on projects, committees and other activities as deemed appropriate. Demonstrates personal responsibility for job performance. Other duties as assigned by Manager/Supervisor. Possible travel for education sessions, CME events, etc. as defined by Physician Revenue Cycle Leadership. Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Experience We Love: Minimum of 4 years coding experience required, 5 years preferred Extensive knowledge/experience in physician front end and back end coding with expert knowledge in a multiple coding specialties and the ability to provide education/support to coding team and providers as well as strong analytic skills. Knowledge of Medical Terminology, IDC-10, CPT, and HCPCS. PC and Computer application knowledge and experience. Navigational and basic functional expertise in Microsoft business software (Excel, Word, PowerPoint). Excellent skills of organization, communication, time management, financial analysis, written policy, trouble shooting and problem solving. Ability to multi-task and prioritize needs to meet short and long term timelines. Mobile phone access with adequate data to handle business needs is required. Experience with EPIC and previous use of coding software tools. Dual Certification. Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences. This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. Minimum Education: High School Diploma or GED Required Certifications: AAPC or AHIMA Coding Certification: CPC or CCS