Medical Coding Specialist

Ensemble Health Partners; Northern (KY); Hybrid; USD 58,598,000 - 70,776,000; Full time

Benefits offered by this job

Bonus incentives

Paid certifications

Tuition reimbursement

Comprehensive benefits

Career advancement

Job summary

Ensemble Health Partners is actively seeking a Medical Coding Specialist for a remote nationwide role. You will review medical records and assign ICD-10-CM/PCS, CPT/HCPCS codes, ensuring medical necessity and payer compliance. The position emphasizes accuracy, productivity, and adherence to coding ethics.

The role requires 1 year of coding experience and familiarity with EPIC and coding software tools. Remote work is supported with potential on-site travel as needed for client engagements.

Qualifications

• 1 year of coding experience required.
• Experience with EPIC and coding software tools preferred.
• Proficiency with CPT/ICD coding guidelines and CMS rules.

Responsibilities

• Review medical records and assign ICD-9-CM/10-CM, CPT/HCPCS codes.
• Apply appropriate E&M levels and modifiers as required.
• Ensure claims are clean and compliant with payer guidelines.
• Maintain productivity and quality standards for coding accuracy.

Skills

Medical Coding

ICD-10-CM/PCS

CPT/HCPCS

3M Encoder

Education

High School Diploma or GED

Tools

EPIC

CAC software

3M Encoder

Job description

## Medical Coding SpecialistApply: Remote - Nationwide: Full time: Posted Today: R052288**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 Incentives* Paid Certifications* Tuition Reimbursement* Comprehensive Benefits* Career 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* 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 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, 2024-2025Black 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 2023-2024* Innovation* Work-Life Flexibility* Leadership* Purpose + Values Bottom 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].