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Urgent! Coder Quality Auditor Job Opening In Cincinnati – Now Hiring Ensemble Health Partners

Coder Quality Auditor



Job description

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 Purpose:

  • Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

  • Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

  • Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

  • The Opportunity:

    CAREER OPPORTUNITY OFFERING:

  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement
  • This position pays between $57,400 to $99,000 annually based on experience
  • The Coder Quality Auditor conducts monthly and quarterly quality assessments of individual codes.

    Provides guidance and education to coding associates and leaders on established coding guidelines and procedures.

    Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts.

    Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards and following CMS/AMA guidelines.

    Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for specialties including Cardiology, Electrophysiology, Cardiothoracic/Vascular.

    Preference given to candidates with the following AAPC specialty certifications: CCC (Certified Cardiology Coder) or CCVTC (Certified Cardiovascular and Thoracic Surgery Coder)

    Job 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.
  • Experience We Love:

  • 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.
  • Minimum Education:

  • Associates Degree or Equivalent Experience
  • Required Certifications:

    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)
  • #LI-HB1

    #LI-REMOTE

    Join an award-winning company

    Five-time winner of “Best in KLAS” 2020-2022, 2024-2025

    Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024

    22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024

    Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

    Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023

    Energage Top Workplaces USA 2022-2024

    Fortune Media Best Workplaces in Healthcare 2024

    Monster Top Workplace for Remote Work 2024

    Great Place to Work certified 2023-2024

  • 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 BenefitsWe 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 .

    This posting addresses state specific requirements to provide pay transparency.

    Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.

    A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

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    Required Skill Profession

    Financial Clerks



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      Unlock Your Coder Quality Potential: Insight & Career Growth Guide


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      • 2. Loyalty
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      • 6. Respect for human rights
      • 7. Obeying United States laws and regulations
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    • Interview Tips for Coder Quality Auditor Job Success
      Ensemble Health Partners interview tips for Coder Quality Auditor

      Here are some tips to help you prepare for and ace your job interview:

      Before the Interview:
      • Research: Learn about the Ensemble Health Partners's mission, values, products, and the specific job requirements and get further information about
      • Other Openings
      • Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.
      • Dress Professionally: Choose attire appropriate for the company culture.
      • Prepare Questions: Show your interest by having thoughtful questions for the interviewer.
      • Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.
      During the Interview:
      • Be Punctual: Arrive on time to demonstrate professionalism and respect.
      • Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.
      • Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.
      • Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.
      • Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.
      • Follow Up: Send a thank-you email to the interviewer within 24 hours.
      Additional Tips:
      • Be Yourself: Let your personality shine through while maintaining professionalism.
      • Be Honest: Don't exaggerate your skills or experience.
      • Be Positive: Focus on your strengths and accomplishments.
      • Body Language: Maintain good posture, avoid fidgeting, and make eye contact.
      • Turn Off Phone: Avoid distractions during the interview.
      Final Thought:

      To prepare for your Coder Quality Auditor interview at Ensemble Health Partners, research the company, understand the job requirements, and practice common interview questions.

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