Specialized Coder - Cardiology, Vascular and CVTS

Ensemble Health Partners; Reading, Northern (Berks County, KY); Hybrid; USD 62,000 - 68,000; Full time

Benefits offered by this job

Sign-on bonus

Tuition reimbursement

Comprehensive benefits

Career advancement

Job summary

Ensemble Health Partners is hiring a Specialized Coder for an on-site role at Tower - Reading Hospital in West Reading, PA. You will review physician charges, code encounters accurately, and support education for the coding team.

Must have 3+ years of coding experience with expert knowledge in Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery coding. EPIC experience and strong communication are essential for this role.

Qualifications

• 3+ years of coding experience.
• Extensive knowledge in Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery coding.
• Knowledge of ICD-10-CM, CPT, and HCPCS; EPIC experience.
• Able to mentor coders and educate providers.

Responsibilities

• Code claims from medical records per coding guidelines.
• Complete work queues accurately and timely.
• Identify trends in charge review and assist leadership.
• Support provider education and training of coders.

Skills

Coding experience

Organization skills

Problem solving

Education

High School Diploma or GED

CPC (Certified Professional Coder)

CCS (Certified Coding Specialist)

RHIA (Registered Health Information Administrator)

RHIT (Registered Health Information Technician)

Tools

EPIC

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 Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $29.75 and $32.70/hr based on experience Specialized Coders Wanted - $3,000 Sign-On Bonus Awaits - We are seeking candidates with experience in Cardiology, Vascular or Thoracic Surgery specialties. *This role is an onsite role located at Tower - Reading Hospital in West Reading, PA.* The Specialized Coder is a certified coder with expert knowledge in physician coding for Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery. This position is responsible for reviewing physician charges to accurately code encounters, correct coding edits, and assist with research for denied claims. The Specialized Coder's role also includes tracking, trending coding issues, mentoring/training other coders, and supporting provider education.

Job Responsibilities

• Code claims directly from the medical record/operative report according to coding guidelines.
• Accurate and timely completion of work queues as assigned.
• Track and identify trends within charge review and follow up work queues and assist leadership in the resolution of those trends and/or educational needs.
• Assists with research of denied claims.
• Maintains compliance with established corporate and departmental policies and procedures, quality improvement program, customer service and productivity expectations.
• Must be able to achieve individual quality and productivity performance metrics in daily duties as set by coding leadership.
• Provide and/or assist with provider education, as well as the development of 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.
• Extensive knowledge/experience in physician coding with expert knowledge in a specific coding specialty and the ability to provide education/support to coding team and providers.
• Possible travel for education sessions, CME events, etc. as defined by Physician Revenue Cycle Leadership.

Required Experience

• 3+ years of coding experience
• Extensive knowledge/experience in physician coding with expert knowledge in Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery coding specialty and the ability to provide education/support to coding team and providers.
• Knowledge of Medical Terminology, ICD-10-CM, CPT, and HCPCS.
• 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, troubleshooting 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.

Required Certifications and Professional Designations

Candidate must have and keep current at least one of the following professional certifications (CPC, preferred with the addition of CCVTC and/or CIRCC):

• CPC (Certified Professional Coder)
• CCS (Certified Coding Specialist)
• RHIA (Registered Health Information Administrator)
• RHIT (Registered Health Information Technician)

Minimum Education

High School Diploma or GED

Benefits and Perks

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.

Awards and Recognition

• 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

Equal Employment Opportunity Statement

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.

Location and Work Authorization

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.

Accommodation for Disabilities

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].

Pay Transparency and Compensation Considerations

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.

Core Values and Commitment

We believe that our core values of trust, integrity, loyalty and service married with the belief that our work is worthwhile helps us build and sustain sincere relationships with our associates and clients. If you are a passionate, dedicated and experienced revenue cycle, consulting or finance professional and seek career and personal growth, we would love to hear from you. We believe we foster an environment where talented individuals can excel and shine. Our team believes that people are the most important part of our success and that when we take care of our people, they pay it forward by providing our clients with excellent results and world-class service.