Forensic Medical Coder

Ensemble Health Partners • Work at Home - Ohio - Other, OH

3d • $25 - $27 • Remote

About The Position

Ensemble is seeking a certified Forensic Coder with expert knowledge of physician front-end and back-end coding. The role analyzes the root causes of coding opportunities, provides coding and documentation education, supports or leads improvement projects, and assists with special coding projects assigned by leadership. Candidates should have experience in at least one of the following specialties: General Surgery, Rural Health, Urology, Nephrology, Gynecologic Oncology, Cardiology, Trauma, Plastic Surgery, Orthopedics, Vascular Surgery, Neurosurgery, or Reproductive Endocrinology.

This is a remote position, with required travel to and work at client, temporary, or corporate office locations when business needs require. The role may also involve travel for education sessions or continuing medical education events. The position pays $24.65–$27.10 per hour, based on experience.

Requirements

• At least 4 years of coding experience; 5 years preferred.
• Extensive experience and knowledge in physician front-end and back-end coding, expert knowledge in multiple coding specialties, and ability to educate and support coding teams and providers.
• Knowledge of medical terminology, ICD-10, CPT, and HCPCS.
• PC and computer application experience, including basic functional and navigation skills in Microsoft Excel, Word, and PowerPoint.
• Strong organization, communication, time-management, financial-analysis, written-policy, troubleshooting, and problem-solving skills.
• Ability to multitask and prioritize to meet short- and long-term timelines.
• Mobile phone access with adequate data to handle business needs.
• AAPC or AHIMA coding certification: CPC or CCS.
• High school diploma or GED.
• Must reside and be authorized to work in the United States.
• Must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Nice To Haves

• Five years of coding experience.
• Experience in at least one of General Surgery, Rural Health, Urology, Nephrology, Gynecologic Oncology, Cardiology, Trauma, Plastic Surgery, Orthopedics, Vascular Surgery, Neurosurgery, or Reproductive Endocrinology.
• Experience with EPIC and prior use of coding software tools.
• Dual certification.
• Inquisitiveness and openness to innovation, including AI, to improve processes and patient and client experiences.

Responsibilities

• Perform root cause analysis of assigned front-end and/or back-end coding opportunities.
• Support or lead coding opportunity improvement projects as assigned.
• Research and provide coding guidance for new client service lines and services.
• Comply with corporate and departmental policies and procedures, quality improvement programs, customer service expectations, and productivity expectations.
• Maintain knowledge of workflows and processes in each coding functional area.
• Provide or assist with provider education and develop educational tools; communicate professionally with physicians, management, and peers.
• Participate in coding and compliance education activities, including meetings and calls.
• Stay current on payer guidelines, Correct Coding Initiative edits, and Local and National Coverage Determinations; mentor team members on coding guidelines and accuracy.
• Assist with training other coders.
• Learn new skills and participate in and share expertise on projects, committees, and other activities as appropriate; take responsibility for job performance.
• Perform other duties assigned by a Manager or Supervisor.
• Travel for education sessions, CME events, or other purposes as defined by Physician Revenue Cycle Leadership.
• Demonstrate the knowledge and skills needed to provide age-appropriate care, including understanding lifespan growth and development and interpreting patient-status information to identify age- and needs-related requirements in accordance with departmental policies and procedures.

Benefits

• Bonus incentives and quarterly and annual incentive programs.
• Paid professional certifications.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Career advancement and professional development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED