Medical Coding Specialist

Ensemble Health Partners; Columbus (OH); On-site; USD 28,000 - 34,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

Ensemble Health Partners is seeking a Medical Coding Specialist to join our revenue cycle team in the United States. The position codes outpatient visits, applies CPT/ICD coding per guidelines, and ensures billing accuracy across multiple specialties.

Ideal candidates have a minimum of one year coding experience, a high school diploma or GED, and AHIMA/AAPC certifications. We support professional development, benefits, and a collaborative work culture.

Qualifications

• 1 year of coding experience
• High School Diploma or GED required
• AAPC or AHIMA coding certification: CPC-A, CPC, CCA or CCS required

Responsibilities

• Review records and assign ICD-9-CM/ICD-10, CPT IV, and HCPCS codes using 3M tools.
• Apply charges for E/M levels, injections, and infusions as applicable.
• Abstract required data per facility specifications.
• Perform medical necessity checks for Medicare and payers.
• Monitor accounts in Discharged Not Final Billed, failed claims, and stop bills as a team.
• Maintain productivity and quality using 3M CAC and coding software.
• Stay current with CMS/NCD/LCD guidelines for modifier assignment.
• Report coding inaccuracies to HIM management and flag potential issues.
• Attend system, hospital, and departmental meetings and trainings.

Skills

Coding experience

Microsoft Excel

Microsoft Word

Multitasking

Problem solving

Communication

Education

High School Diploma or GED

Tools

3M encoder

CAC (Medical Necessity software)

Abstracting system

Code books

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.
• Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
• 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 Advancement

This position will pay between $20.45 - $24.70/hr based on experience

We are seeking candidates with experience in multiple pro-fee specialties: HemOnc/Interventional Radiology, Ortho, Allergy/ENT, OBGYN, Cardio, General Surgery, Pediatric General Surgery & Pulmonology

The Medical Coding Specialist position reviews medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow. Follows Policies and Procedures and maintains required quality and productivity standards.

Job Responsibilities:

• Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types. The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided.
• When applicable, apply the appropriate charges such as the Evaluation & Management, (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX.
• Correctly abstract required data per facility specifications.
• Perform "medical necessity checks" for Medicare and other payers as required per payment guidelines.
• Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis as a team, ensure timely, compliant processing of outpatient claims in the billing system.
• Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards.
• Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through.
• Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding, (CAC) Medical Necessity software, abstracting system, code books, and all reference materials.
• Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy
• Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth.

Experience We Love:

• 1 year of previous of coding experience
• 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

Minimum Education:

High School Diploma or GED

Required Certifications:

AAPC or AHIMA Coding Certification: CPC-A, CPC, CCA or CCS#LI-MD1#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

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 .

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.

Employment Disclaimers – Ensemble