Senior Physician Coding Auditor & Training Lead

Ensemble Health Partners; Kentucky; Hybrid; USD 57,000 - 99,000; Full time

Benefits offered by this job

Healthcare benefits

Tuition reimbursement

Career advancement

Job summary

Ensemble Health Partners is seeking a Physician Coding Auditor to develop and implement training for coding leadership, oversee curriculum, and ensure compliant professional coding standards across specialties.

The role requires 5+ years of coding and 3+ years of auditing experience, with proficiency in EMR systems, encoders, and Microsoft Office. Travel 20-40% is possible; tuition reimbursement and growth opportunities are available.

Qualifications

• 5+ years of coding experience.
• 3+ years of auditing experience.
• Proficiency in multiple EMR’s, encoders, and the Microsoft Office suite.
• Educated in HIPAA regulations; must maintain strict confidentiality of patient and client information.
• Consistently achieves quality and productivity standards.
• Ability to read, write and effectively communicate in English.
• Position may require 20-40% travel to client sites.
• 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.

Responsibilities

• Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at HIM facility coding for both inpatient and outpatient accounts. Performs annual performance, randomized and quality assurance reviews to assess comprehension of training efforts. Also assists in CHAN and other external audits.
• Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs. Assists with Task Force, CDE and quality department related education. Creates presentations, develops learning material, handbook and other educational materials.
• Edits/Denials/Coding - Assists with edits, denials and appeals. Also assists with coding and working holds on an as needed basis.
• Training - Assists with training new and existing staff. Develops all training materials and coding aids for both formal training and use by coders in daily work. Identifies coders to be cross-trained and suggests areas for training improvement. Assists in the implementation and administration of effective systems, processes, and procedures.
• Coordinating - Coordinates the presentation of ongoing professional seminars and materials via audio-conferences, webinars, and other publications. Maintains education records on all staff to include attendance records for all coding related educational activities.
• Resource - Serves as a technical resource for all involved personnel; ensures that information is accurate and current, meeting professional coding standards.
• Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW (Included Provider verbiage). Assists with the creation of various documents and reports as requested. Immediately provides reports related to compliance risks when requested.

Skills

Coding

Auditing

HIPAA

Education

Associate's Degree or Equivalent Experience

Tools

EMR systems

Encoders

Microsoft Office

Job description

Ensemble Health Partners is seeking a Physician Coding Auditor to develop and implement training for coding leadership, oversee curriculum, and ensure compliant professional coding standards across specialties.

The role requires 5+ years of coding and 3+ years of auditing experience, with proficiency in EMR systems, encoders, and Microsoft Office. Travel 20-40% is possible; tuition reimbursement and growth opportunities are available.