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Revenue Cycle Acute/Hospital Coding Compliance Auditor

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:

**This position requires coding experience on the hospital/acute side. Inpatient or outpatient**

The Coding Compliance Auditor will be responsible for the timely and effective completion and documentation of compliance audits and control validation as identified by the Compliance workplan and other ad hoc activities. Based on audit outcomes, the auditor will assist departments in executing corrective actions. This position requires working knowledge of revenue cycle operations, documentation requirements, & federal and state regulations pertaining to but not limited to federal healthcare program requirements, OIG program guidelines and workplan, coding, documentation, & billing requirements.

The Coding Compliance Auditor II will serve as SME/SMART and assist with escalations, ad Hoc audit request, & education and training of department new hires.

What You Will Do:

Manage, coordinate, and complete compliance audits within allotted timeframes. Ensure management corrective actions and follow up items are completed according to agreed-upon deadlines. Create and maintain audit records, analytical reports, and track and trend audit program activities. Help evaluate the adequacy and effectiveness of internal and operational controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to corporate integrity and compliance, Effectively communicate compliance concerns to Compliance leadership and operational leaders to provide timely notification to business unit management of statutory, regulatory or policy change. Monitors regulatory, legal, and industry developments and identifies opportunities for their application to the Corporate Compliance program. Create and maintain cumulative compliance program activity records, analytical reports, and track and trend compliance program activities; manage compliance program issue logs and dashboards. Maintains accurate, complete, and up-to-date compliance documents and records and produce for Compliance leadership upon request Ability to be flexible, multitask, and switch priorities as well as work comfortably in a deadline driven/productivity environment. Ability to prioritize, organize, plan, and implement services as well as handle multiple projects/problems simultaneously Contribute to the achievement of Compliance Department goals and objectives and adhere to departmental policies, procedures, and standards; comply with organizational policies and procedures, governmental laws and regulations and accreditation standards. Effectively maintain collaborative working relationships with all stakeholders including clients, Ensemble staff, and external entities representatives. Serve as subject matter expert in assigned areas within revenue cycle. Assist with answering questions, training, and education of new hires and with completing ad hoc audit requests and respond to escalations as assigned by direct supervisor. Assist with development and maintenance of training material and Standard operating procedures. Assist with work assignment of the auditors and follow up on deliverables to ensure deadlines are met. Conduct quality assurance audits of Compliance Auditor I. Participate in other projects as assigned and complete tasks within requested timeframes. Participates in periodic compliance program effectiveness evaluations.

What Will Make You Successful:

Coding and/or billing certifications are preferred Auditing and/or Compliance certifications are preferred Previous experience in a similar role Previous experience in coding/coding auditing preferred

#LI-LS1

#LI-REMOTE

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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