[Hiring] Specialized Coder @Ensemble Health Partners

Role Description

We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties. The Specialized Coder is a certified coder with expert knowledge in physician coding for Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery. This position is responsible for:

• Reviewing physician charges to accurately code encounters.
• Correct coding edits and assisting with research for denied claims.
• Tracking and trending coding issues, mentoring/training other coders, and supporting provider education.

Job Responsibilities:

• Code claims directly from the medical record/operative report according to coding guidelines.
• Accurate and timely completion of work queues as assigned.
• Track and identify trends within charge review and follow up work queues.
• Assist leadership in the resolution of trends and/or educational needs.
• Assist with research of denied claims.
• Maintain compliance with established corporate and departmental policies and procedures.
• Achieve individual quality and productivity performance metrics in daily duties as set by coding leadership.
• Provide and/or assist with provider education and the development of educational tools.
• Communicate professionally with physicians, management, and peers.
• Participate in all educational activities including coding meetings/calls.
• Remain abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations.
• Mentor team members regarding coding guidelines and accuracy.
• Assist with training of other coders.
• Take initiative for learning new skills and participate in projects, committees, and other activities.
• Demonstrate personal responsibility for job performance.
• Extensive knowledge/experience in physician coding with expert knowledge in a specific coding specialty.
• Possible travel for education sessions, CME events, etc. as defined by Physician Revenue Cycle Leadership.

Qualifications

• 3+ years of coding experience.
• Extensive knowledge/experience in physician coding with expert knowledge in Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery coding specialty.
• Knowledge of Medical Terminology, ICD-10-CM, CPT, and HCPCS.
• 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, troubleshooting, 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.

Requirements

• High School Diploma or GED.
• Candidate must have and keep current at least one of the following professional certifications:
• CPC (Certified Professional Coder)
• CCS (Certified Coding Specialist)
• RHIA (Registered Health Information Administrator)
• RHIT (Registered Health Information Technician)

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement