Ensemble Health Partners Remote Jobs USA 2024 | Coding Specialist

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Ensemble Health Partners Remote Jobs USA
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About Ensemble Health Partners Remote Jobs USA 2024

Ensemble manages more than $29 billion in net patient revenue (NPR) and partners with more unique health systems than any other revenue cycle firm to deliver holistic financial health solutions through end-to-end managed services partnerships.

The firm helps providers maximize their current technology and deploys industry-leading solutions to meet the unique needs of their systems and patients.

Ensemble focuses on delivering value quickly and sustaining high performance, meeting 100% of year-one client goals, exceeding 102% of year-one cash collections and delivering 5% average NPR lift across clients.

Ensemble Health Partners Remote Jobs USA 2024 Details

Company NameEnsemble Health Partners
Job RoleCoding Specialist
Job TypeFull Time
Job LocationRemote US
EducationBachelor Degree
Career LevelEntry Level
SalaryNot Mentioned
Company Websitewww.ensemblehp.com

Job Description For Ensemble Health Partners Remote Jobs USA 2024

Advanced outpatient coding position that reviews medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (AHIMA,) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow. . Follows Policies and Procedures and maintains required quality and productivity standards.

  • Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types (Ancillary, ED Charge/Code, Same Day Surgery, and Observation. . The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided. When applicable, apply the appropriate charges such as the Evaluation & Management, (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX.
  • Correctly abstract required data per facility specifications.
  • Perform “medical necessity checks” for Medicare and other payers as required per payment guidelines.
  • Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis as a team, ensure timely, compliant processing of outpatient claims in the billing system.
  • Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards.
  • Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS,) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through.
  • Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding, (CAC,) Medical Necessity software, abstracting system, code books, and all reference materials. Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy
  • Follows all established Mercy Health policies and procedures to include abiding by paid time off, (PTO) requirements.
  • Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth.
  • Assist in the mentoring and training of Coders as required.

Experience We Love:

  • 1 year of previous of coding experience
  • Current coding certification
  • Experience in cardiovascular coding, preferred
  • CRCR Certification required, or willingness to obtain within 9 months of hire

Ensemble Health Partners Remote Jobs USA 2024 Application Process

  • Eligible candidates are advised to open online Apply Link ( Link given bellow).
  • This link will open on new tab on your browser
  • Read carefully above job description and double click to apply online
  • Fill all your academic qualification, skill experience and other mandatory details.
  • Upload your resume.
  • Check the details before submitting.
  • If you are shortlisted, details will be shared through e-mail or phone call
  • interview and Venue details also will be shared to shortlisted candidates through e-mail.
  • Note : Apply the job before link Expires

We wish you the best of luck in your Ensemble Health Partners Remote Jobs USA 2024. May your talents shine, and may you find the perfect opportunity that not only meets your professional goals but also brings joy to your everyday work.

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