Pro Fee Coding Educator – Special Projects

Ensemble Health Partners

11d•Remote

About The Position

Ensemble 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 difference! O.N.E 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. This position pays between $62,500 to $119,700 annually based on experience. We are seeking a highly skilled Coding Educator to join our Special Projects Team within our Client Integration Department. This role is critical in conducting provider audits, focusing on E&M, Surgical, and in-office procedures. We analyze the full picture of how charges are processed, including documentation, coding, and patient history. This role requires travel via air or car 20-40% of the time. This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Requirements

5 + years of coding and educational experience in Professional Fee Coding or consulting setting with preference for Cardiology, General Surgery, Neurosurgery or Ob GYN specialties
Expert-level coding knowledge in E&M leveling, surgical, and in-office procedures.
Strong understanding of documentation and coding compliance.
Ability to analyze complex coding scenarios and identify areas for improvement.
Experience in auditing and education, with the ability to communicate findings effectively.
Confident researcher who is comfortable seeking out guidance and clarification when needed.
Ability to navigate or learn multiple EHR systems efficiently
Self-motivated and adaptable, capable of thriving in a developing team environment.
Required travel 20-40% of the time via air or car.
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.
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) RHIA (Registered Health Information Administrator) RHIT (Registered Health Information Technician) CIC (Certified Inpatient Coder) COC (Certified Outpatient Coder)

Nice To Haves

preference for Cardiology, General Surgery, Neurosurgery or Ob GYN specialties
CPMA or CCS Preferred
CPC (Certified Professional Coder)
CCS-P (Certified Coding Specialist-Phys Based)
CCS (Certified Coding Specialist)
RHIA (Registered Health Information Administrator)
RHIT (Registered Health Information Technician)
CIC (Certified Inpatient Coder)
COC (Certified Outpatient Coder)

Responsibilities

Perform manual audits based on provider, client, or coding concerns, typically beginning with a 30-chart probe to assess potential documentation or coding discrepancies.
Deliver audit results and summary to the director over the client and implement necessary corrections.
Identify and elaborate on education opportunities within audits to ensure discrepancies are addressed (though direct provider education is typically handled by compliance or Ensemble’s education team- this may change in the future as our team develops).
Work collaboratively within a small, dynamic team while maintaining the ability to work independently and manage workloads effectively.
Confidently conduct research when unsure about coding scenarios and be proactive in asking questions to ensure accuracy.
Abstract codes from progress notes, procedure notes, and operative notes with precision.
Contribute to the development of workflows and processes as the team continues to establish best practices.
Participate in a 90–120-day smart training program to gain proficiency in our audit workflows.