If you’re a certified coder who can move between multiple pro-fee specialties and keep claims clean the first time, Ensemble is hiring. This role focuses on accurate outpatient coding and abstracting, with productivity and quality targets tied to 3M tools and payer medical necessity rules.
About Ensemble Health Partners
Ensemble Health Partners provides technology-enabled revenue cycle management solutions for hospitals and affiliated physician groups nationwide, supporting end-to-end revenue cycle operations and related point solutions.
Schedule
- Full-time
- Remote (Nationwide)
- Posted 21 days ago
- Requisition ID: R039083
- Pay: $20.45–$22.50/hr (based on experience)
What You’ll Do
- Review medical records and assign accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes (outpatient work types)
- Ensure coding supports documented medical necessity and reason for visit
- Apply appropriate charges when needed (E&M leveling, injections/infusions, observation requirements) using tools like LYNX
- Abstract required data elements per facility specifications
- Perform medical necessity checks for Medicare and other payers
- Work DNFB, failed claims, stop bills, and other billing edits as a team to support timely outpatient claim processing
- Hit established productivity and KPI expectations (including 3M 360 CAC work) while maintaining quality standards
- Stay current on CMS rules, NCD/LCD guidance, modifier requirements, and coding ethics standards (AHIMA/AHA/CMS directives)
- Use and maintain competency across coding tools (3M encoder, CAC, medical necessity software, abstracting systems, reference materials)
- Report coding software inaccuracies and any potential unethical or fraudulent activity per compliance policy
- Participate in required meetings and continuing education
What You Need
- High school diploma or GED
- AAPC or AHIMA coding certification: CPC-A, CPC, CCA, or CCS
- 1+ year of coding experience
- Comfort coding across multiple pro-fee specialties (they specifically want multi-specialty experience; examples listed include Cardiology, Vascular, Thoracic Surgery, Ortho, Pulmonology, OBGYN, Radiology, General Surgery)
- Strong PC skills and working knowledge of Microsoft Office (Excel, Word, PowerPoint)
- Strong organization, communication, time management, troubleshooting, and problem-solving
- Ability to multitask and prioritize to meet deadlines
- EPIC and coding software experience preferred
Benefits
- Bonus incentives
- Paid certifications
- Tuition reimbursement
- Comprehensive benefits
- Career advancement
Quick gut-check (because this can backfire if we ignore it): this is not “entry-level coding.” The multi-specialty requirement is the real filter. If you’re not already comfortable coding across several of those pro-fee areas, you’ll spend your first 60–90 days underwater.
Happy Hunting,
~Two Chicks…