Forensic Medical Coder
Ensemble Health Partners
- New York, New York, United States
- New York, New York, United States
About
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
This position pays between $24.65 - $27.10/hr based on experience
We are seeking candidates with experience in at least one of the following: Cardiology, Ortho, Podiatry, Radiology Oncology, OBGYN, RHC, Behavioral Health, Dermatology, Urology, Vascular and General Surgery.
The Forensic Coder is a certified coder with expert knowledge in front and back end coding. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects. This position will also perform and/or assist with special coding projects as determined by leadership.
Job Responsibilities
Complete root cause analysis of identified front and/or back end coding opportunities as assigned.
Support/lead opportunity improvement projects as assigned.
Research and provide coding guidance for new client service lines/services.
Maintains compliance with established corporate and departmental policies and procedures, quality improvement program, customer service and productivity expectations.
Maintain workflow/process knowledge of each functional area of coding.
Provide and/or assist with provider education, as well as the development 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.
Other duties as assigned by Manager/Supervisor.
Possible travel for education sessions, CME events, etc. as defined by Physician Revenue Cycle Leadership.
Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.
Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.
Experience We Love
Minimum of 4 years coding experience required, 5 years preferred.
Extensive knowledge/experience in physician front end and back end coding with expert knowledge in a multiple coding specialties and the ability to provide education/support to coding team and providers as well as strong analytic skills.
Knowledge of Medical Terminology, ICD-10, CPT, and HCPCS.
PC and Computer application knowledge and experience. Navigational and basic functional expertise in Microsoft business software (Excel, Word, PowerPoint).
Excellent skills of organization, communication, time management, financial analysis, written policy, trouble shooting and problem solving.
Ability to multi-task and prioritize needs to meet short and long term timelines. Mobile phone access with adequate data to handle business needs is required.
Experience with EPIC and previous use of coding software tools. Dual Certification.
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.
This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
Minimum Education
High School Diploma or GED
Required Certifications
AAPC or AHIMA Coding Certification: CPC or CCS
Equal Employment Opportunity 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.
Reasonable Accommodations 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 TA@ensemblehp.com.
Pay Transparency 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. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.
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Languages
- English
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