Develops and implements strategic needs analyses and training plans for coding leadership
Coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW
Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures
Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts
Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards
Monitors and audits inpatient and outpatient accounts across the system
Assesses the educational needs of coding staff and providers and develops programs or researches educational resources to meet those needs
Assists with edits, denials and appeals, as well as training new and existing staff
Coordinates the presentation of ongoing professional seminars and materials via audio-conferences, webinars, and other publications
Provides reports of audit findings to coding management, individual coders and leadership as needed/requested

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 organize and complete work in a timely manner
Ability to read, write and effectively communicate in English
Ability to understand medical/surgical terminology
Above average written and verbal communication skills
Position may require 20-40% travel to client sites
Minimum Education: Associates Degree or Equivalent Experience
Required Certifications: Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA or CCS Preferred): CPC (Certified Professional Coder) CCS-P (Certified Coding Specialist-Phys Based) CCS (Certified Coding Specialist) CMPA (Certified Professional Medical Auditor) RHIA (Registered Health Information Administrator) RHIT (Registered Health Information Technician)

Physician Coding Auditor

Key skills