Forensic Medical Coder

Ensemble Health Partners; Blue Ash (OH); Remote; USD 34,000 - 37,000; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Job summary

Ensemble Health Partners is seeking a Forensic Coder to perform root cause analysis and guide coding opportunities across front and back end processes. The role emphasizes education for providers, adherence to payer guidelines, and mentorship within the coding team.

The position is remote with travel to client sites as needed; requires 4+ years of coding, CPC/CCS certification preferred, and EPIC experience.

Qualifications

• Minimum of 4 years coding experience in medical coding.
• Expert knowledge in multiple coding specialties with front and back end coding.
• Proficiency in Medical Terminology, ICD-10, CPT, HCPCS.
• Proficient in Microsoft Excel and general MS Office.
• Remote-eligible with ability to travel to client sites as required.

Responsibilities

• Complete root cause analysis of identified front and/or back end coding opportunities as assigned.
• Support/lead opportunity improvement projects as assigned.
• Research and provide coding guidance for new client service lines/services.
• Maintain workflow/process knowledge of each functional area of coding.
• Provide and/or assist with provider education, as well as the development educational tools.
• Communicates professionally with physicians, management, and peers.
• Assists with training of other coders.
• Takes initiative for learning new skills and willingness to participate in projects.

Skills

Coding

Front end coding

Back end coding

Medical terminology

Microsoft Excel

Education

High School Diploma or GED

Tools

EPIC

Coding software tools

MS Office

Job description

Thank you for considering a career at Ensemble!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.The Opportunity:CAREER OPPORTUNITY OFFERING:Bonus IncentivesPaid CertificationsTuition ReimbursementComprehensive BenefitsCareer AdvancementThis position pays between $24.65 - $27.10/hr based on experience*We are seeking candidates with experience in at least one of the following; General Surgery, Rural Health, Urology, Nephrology, Gyno Oncology, Cardio, Trauma, Plastics Surgery, Ortho, Vascular, Neurosurgery and Reproductive Endo*The Forensic Coder is a certified coder with expert knowledge in front and back end coding. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership.Job Responsibilities:Complete root cause analysis of identified front and/or back end coding opportunities as assigned.Support/lead opportunity improvement projects as assigned.Research and provide coding guidance for new client service lines/services.Maintains compliance with established corporate and departmental policies and procedures, quality improvement program, customer service and productivity expectations.Maintain workflow/process knowledge of each functional area of coding.Provide and/or assist with provider education, as well as the development 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.Other duties as assigned by Manager/Supervisor.Possible travel for education sessions, CME events, etc. as defined by Physician Revenue Cycle Leadership.Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.Experience We Love:Minimum of 4 years coding experience required, 5 years preferredExtensive knowledge/experience in physician front end and back end coding with expert knowledge in a multiple coding specialties and the ability to provide education/support to coding team and providers as well as strong analytic skills.Knowledge of Medical Terminology, IDC-10, CPT, and HCPCS.PC and Computer application knowledge and experience. Navigational and basic functional expertise in Microsoft business software (Excel, Word, PowerPoint).Excellent skills of organization, communication, time management, financial analysis, written policy, trouble shooting and problem solving.Ability to multi-task and prioritize needs to meet short and long term timelines. Mobile phone access with adequate data to handle business needs is required.Experience with EPIC and previous use of coding software tools. Dual Certification.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.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.Minimum Education:High School Diploma or GEDRequired Certifications:AAPC or AHIMA Coding Certification: CPC or CCS#LI-HB1#LI-REMOTEJoin an award-winning companyFive-time winner of “Best in KLAS” 2020-2022, 2024-2025Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-202422 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023Energage Top Workplaces USA 2022-2024Fortune Media Best Workplaces in Healthcare 2024Monster Top Workplace for Remote Work 2024Great Place to Work certified 2023-2024InnovationWork-Life FlexibilityLeadershipPurpose + ValuesBottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:Associate Benefits – We 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 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 also prohibits harassment of applicants or employees based on any of these protected categories.Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.Ensemble 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 [e-mail] 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.Employment Disclaimers – Ensemble