Senior Revenue Cycle Acute / Hospital Coding Compliance Auditor

Ensemble Health Partners; Cincinnati (OH); Remote; USD 70,000 - 90,000; Full time

Job summary

A leading provider of technology-enabled revenue cycle management solutions is seeking a Senior Coding Auditor. This role involves conducting compliance audits, mentoring auditors, and improving audit processes. Join a company recognized for its commitment to healthcare excellence and employee empowerment, offering a collaborative culture and professional development opportunities.

Benefits

Comprehensive health benefits

Emotional benefits

Financial benefits

Professional development opportunities

Tuition reimbursement

Recognition programs

Qualifications

• 5-7 years of experience in healthcare coding, compliance, or audits.
• Knowledge of ICD-10, DRG, CPT, HCPCS, revenue cycle, and compliance standards.

Responsibilities

• Conduct detailed coding audits on acute and physician sides.
• Create and maintain an audit quality program to monitor and improve audit processes.
• Foster a culture of compliance and continuous improvement.

Skills

Medical Coding

Compliance

Analytical Skills

Education

Medical Coding certification

Tools

Epic

Cerner

Meditech

MS Word

Excel

Job description

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners 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.

The Opportunity :

The Senior Coding Auditor, Compliance will assist with the development and execution of the Annual Compliance Workplan, including auditing and monitoring activities. They will lead detailed coding compliance audits, implement management action plans, prepare audit reports, establish and maintain an audit quality program, mentor auditors, and participate in compliance activities. The senior auditor is expected to work independently, manage projects, and use analytical skills to review complex accounts.

Job Responsibilities :

• Proficient in all aspects of the Compliance Coding Auditor roles and responsibilities.
• Conduct detailed coding audits on acute and physician sides.
• Analyze findings to identify discrepancies, trends, and develop recommendations to mitigate risks, partnering with service line leaders on management action plans.
• Create and maintain an audit quality program to monitor and improve audit processes.
• Provide updates to Compliance leadership and escalate concerns as needed.
• Create and maintain training materials for audit processes and tools, providing ongoing support to auditors.
• Communicate compliance concerns effectively and timely to leadership.
• Serve as a resource for coding leaders, keeping up with coding guidelines and standards.
• Maintain audit records, reports, and track activities, managing issue logs and dashboards.
• Assist with onboarding new auditors and support their questions and concerns.
• Foster a culture of compliance and continuous improvement.
• Assist in assessing and improving the compliance audit program.
• Adhere to organizational policies, procedures, and legal standards.
• Maintain collaborative relationships with stakeholders.
• Assist with work assignments and follow-up on deliverables.
• Contribute to the annual risk assessment and work plan development.
• Evaluate internal controls related to compliance.
• Participate in other projects and compliance evaluations as needed.

Experience We Love :

• Medical Coding certification (CCS, RHIA, RHIT, CPC, etc.) and auditing certifications preferred.
• 5-7 years of experience in healthcare coding, compliance, or audits.
• Knowledge of ICD-10, DRG, CPT, HCPCS, revenue cycle, and compliance standards.
• Experience with Epic, Cerner, Meditech, and basic MS Word & Excel.
• Willingness to travel up to 10% as needed.

LI-LS1

LI-REMOTE

Join an award-winning company

Three-time winner of “Best in KLAS” 2020-2022

2022 Top Workplaces Healthcare Industry Award

2022 Top Workplaces Culture Excellence Awards

Work-Life Flexibility & Leadership

Purpose + Values

We believe in empowering people and providing tools for success. Our benefits include:

• Comprehensive health, emotional, and financial benefits.
• A culture rooted in collaboration, growth, and innovation.
• Professional development opportunities, including certifications and tuition reimbursement.
• Recognition programs for outstanding performance.

Ensemble Health Partners is an equal opportunity employer. We prohibit discrimination and harassment based on protected categories and provide reasonable accommodations for individuals with disabilities. If you require accommodations, please contact us.