Ensemble Health Partners · 6 days ago
Coder Quality Auditor
United States
Full-time
Remote
Mid, Senior Level
$57K/yr - $99K/yr
5+ years expEnsemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems. The Coder Quality Auditor conducts quality assessments of coding, provides guidance and education to coding associates, and ensures compliance with coding standards and guidelines.
Health CareHospitality
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, edits, 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
Qualification
Required
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
Associates degree or equivalent experience
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)
Benefits
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
Company
Ensemble Health Partners
Ensemble Health Partners is the leading revenue cycle management company for hospitals, health systems and physician practices.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
unknown2022-03-25Private Equity
2019-05-30Acquired
Leadership Team
Judson Ivy
Founder and CEO
Matt Tormey
EVP Compliance and Risk
Recent News
2025-12-10
Company data provided by crunchbase