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Coding Specialist I

4 months ago


Cincinnati, United States Ensemble Health Partners Full time

Thank you for considering a career at Ensemble Health Partners

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference

The Opportunity:

*We are seeking candidates with experience in Urgent Care, Pathology and CVTS *

The Coding Specialist I position is a Certified Professional Coder that is responsible for reviewing provider medical record documentation and accurately assigning appropriate ICD-10-CDM, ICD-10 PCS, CPT, and/or HCPCS codes for all appropriate account types. This specialist assigns codes and ensures the supporting reason for the visit and the medical necessity that is documented by the provider in the record to support care is in place on the ProFee account.

Job Responsibilities:

Code claims directly from the medical record/operative report per current coding guidelines. Accurate and timely completion of charge review work queues as assigned. Assist with tracking and trending coding issues and research of denied claims. Maintains compliance with established corporate and departmental policies and procedures, quality improvement program, customer service and productivity expectations. Must be able to achieve individual quality and productivity performance metrics in daily duties as set by coding leadership. Remains abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in coding. Participates in all educational activities including coding meetings/calls as necessary to provide information relating to coding and compliance. Communicates professionally with physicians, management, and peers. Takes initiative for learning new skills and willingness to participate and share expertise on projects, committees and other activities as deemed appropriate. Responsible for monitoring and coding of assigned accounts that are pre and post billed, and as a team, ensure timely, compliant processing of ProFee accounts through the systems. Navigate and understand multiple Electronic Medical Record applications, dependent on client assignment determined by leadership and business need.

Experience We Love:

High School Diploma or GED, required 1+ years of previous coding experience Current CCS or CPC coding certification

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Join an award-winning company

Three-time winner of “Best in KLAS” 2020-2022

2022 Top Workplaces Healthcare Industry Award

2022 Top Workplaces USA Award

2022 Top Workplaces Culture Excellence Awards

Innovation

Work-Life Flexibility

Leadership

Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

Associate Benefits We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.  Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.  Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. 

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact .

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