Specialized Coder - Cardiology, Vascular and CVTS

ensemblehp; West Reading (Berks County); On-site; USD 41,000 - 44,000; Full time

Benefits offered by this job

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Job summary

Ensemble is seeking a Specialized Coder for on-site work at Tower - Reading Hospital in West Reading, PA. The role focuses on physician coding in Cardiology, Cardiovascular Thoracic Surgery, or Vascular Surgery, reviewing charges and ensuring accurate encounters.

Requirements include 3+ years coding experience, EPIC proficiency, and knowledge of ICD-10-CM, CPT, HCPCS. On-site position with potential travel for education and training.

Qualifications

• 3+ years of coding experience.
• Expert knowledge in Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery coding.
• Knowledge of ICD-10-CM, CPT, and HCPCS.
• Experience with EPIC and coding software tools.

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 in charge reviews and assist leadership in resolution and education.
• Maintain compliance with policies, quality improvement, and productivity expectations.
• Achieve personal quality and productivity metrics in daily duties; mentor others.
• Provide/provider education and develop educational tools; communicate professionally with physicians and management.
• Participate in coding meetings and stays updated on payer guidelines and edits.

Skills

Cardiology coding

Physician coding

Coding accuracy

Training others

Education

High school diploma or GED

Tools

EPIC software

Microsoft Office

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, 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:

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