[Hiring] Forensic Medical Coder @Ensemble Health Partners

Role Description

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.
• Performing and/or assisting 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.
• Maintain 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 of educational tools.
• Communicate professionally with physicians, management, and peers.
• Participate in all educational activities including coding meetings/calls necessary to provide information relating to coding and compliance.
• Remain abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in Coding and mentor team members regarding coding guidelines and accuracy.
• Assist with training of other coders.
• Take initiative for learning new skills and willingness to participate and share expertise on projects, committees and other activities as deemed appropriate.
• Demonstrate 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.
• Demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.
• Demonstrate 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.

Qualifications

• 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 multiple coding specialties.
• 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, troubleshooting, 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.

Requirements

• High School Diploma or GED.
• AAPC or AHIMA Coding Certification: CPC or CCS.

Benefits

• Bonus Incentives.
• Paid Certifications.
• Tuition Reimbursement.
• Comprehensive Benefits.
• Career Advancement.
• This position pays between $24.65 - $27.10/hr based on experience.