Physician Coding Auditor

@ Ensemble Health Partners

About the Role

The Physician Coding Auditor at Ensemble Health Partners develops and implements strategic needs analyses, training plans for coding leadership, and ensures that training for Medical Coders is effective and current with professional coding standards. This role monitors inpatient and outpatient accounts, performs quality assurance audits, and assesses training comprehension.

Job Responsibilities

• Quality Review: Monitors and audits coding for both inpatient and outpatient accounts, performs randomized and annual reviews, and assists in external audits.
• Educating: Assesses educational needs, develops programs, creates presentations, and produces training materials for coders and providers.
• Editing/Denials/Coding: Assists with edits, appeals and work on coding holds when required.
• Training: Conducts training sessions, develops coding aids, and identifies cross-training opportunities.
• Coordinating & Reporting: Coordinates professional seminars, maintains education records, and provides audit reports.
• Resource & Guidance: Serves as a subject matter expert to ensure compliance with professional fee coding standards.

Experience & Certifications

Requires 5+ years coding experience, 3+ years auditing experience, proficiency in EMRs, strong communication, and relevant certifications such as CPC, CCS, or CMPA.

Benefits & Company Culture

Ensemble Health Partners offers bonus incentives, paid certifications, tuition reimbursement, comprehensive benefits, and strong career advancement opportunities. The company is a recognized leader in revenue cycle management and emphasizes customer obsession, innovation, and excellence.

Key Skills/Competency

• coding
• auditing
• training
• quality assurance
• medical coding
• EMR proficiency
• HIPAA
• communication
• process improvement
• reporting