Specialized Coder - Cardiology, Vascular and CVTS

Ensemble Health Partners•West Reading, PA

2d•$30 - $33•Onsite

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. This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education.

Requirements

3+ years of coding experience
Extensive knowledge/experience in physician coding with expert knowledge in Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery coding specialty and the ability to provide education/support to coding team and providers.
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, trouble shooting 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 to explore better processes and ways to alleviate friction and improve patient and client experiences.

Nice To Haves

CPC (Certified Professional Coder), preferred with the addition of CCVTC and/or CIRCC

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 and assist leadership in the resolution of those trends and/or educational needs.
Assists with research of denied claims.
Maintains compliance with established corporate and departmental policies and procedures, quality improvement program, customer service and productivity expectations.
Must be able to achieve individual quality and productivity performance metrics in daily duties as set by coding leadership.
Provide and/or assist with provider education, as well as the development of educational tools.
Communicates professionally with physicians, management, and peers.
Participates in all educational activities including coding meetings/calls necessary to provide information relating to coding and compliance.
Remains abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in Coding and mentors team members regarding coding guidelines and accuracy.
Assists with training of other coders.
Takes initiative for learning new skills and willingness to participate and share expertise on projects, committees and other activities as deemed appropriate.
Demonstrates personal responsibility for job performance.
Extensive knowledge/experience in physician coding with expert knowledge in a specific coding specialty and the ability to provide education/support to coding team and providers.
Possible travel for education sessions, CME events, etc. as defined by Physician Revenue Cycle Leadership.