Physician Coding Liaison

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy.

About the role

The Physician Coding Liaison is responsible for coordinating physician communications, education, and expertise for the PRC Coding team. This position performs coder communications reviews, serves as the key contact for the specialty, and provides front-line expertise for their specialty for the company and clients. This role also involves performing root cause analysis of trending coding opportunities, supporting and at times leading coding opportunity improvement projects, and performing special coding projects as determined by leadership.

Responsibilities

• Coordinate physician communications, ensuring clear and effective information exchange between the PRC Coding team and physicians.
• Answer telephone and email questions for their specialty, including coding escalations within their specialty.
• Provide education and training to physicians and coders on specialty-specific coding guidelines and best practices.
• Serve as the primary contact for the specialty, addressing inquiries and providing expert guidance on coding-related matters.
• Conduct coder communications reviews to ensure accuracy and compliance with coding standards and workflows aligning with standard operating models (e.g., monitoring in-basket-messaging communications timeliness).
• Perform root cause analysis to identify coding trends and opportunities for improvement for the specialty.
• Support and lead coding opportunity improvement projects, collaborating with cross-functional teams to implement solutions.
• Execute special coding projects as assigned by leadership, ensuring timely and accurate completion.
• Perform production coding as needed to maintain KPI.

Requirements

• 5+ years of medical coding experience, with focus on physician coding; preference for Ortho, Surgical, OB, or multispecialty specialties.
• Strong knowledge of specialty-specific coding guidelines and regulations.
• Excellent communication and interpersonal skills, with the ability to effectively interact with physicians, coders, and other stakeholders.
• Proven ability to analyze coding trends and implement improvement initiatives.
• Detail-oriented with strong organizational and project management skills.
• Experience working in a fast-paced environment with tight deadlines.
• Flexibility in working hours to accommodate project timelines and physician schedules.
• Position may require 20-40% travel to client sites.
• 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.

Qualifications

• Bachelor's degree in Health Information Management, Medical Coding, or equivalent experience.
• 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-Physician Based)
  • CCS (Certified Coding Specialist)
  • CPMA (Certified Professional Medical Auditor)
  • RHIA (Registered Health Information Administrator)
  • RHIT (Registered Health Information Technician)

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• Associate Benefits – Comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Culture – A place where associates can do their best work and be their best selves; rooted in collaboration, growth, and innovation.
• Growth – Investment in professional development, including earning a professional certification relevant to your field.
• Recognition – Quarterly and annual incentive programs for employees who go beyond and raise the bar.

Pay

This position pays between $57,400 to $99,000 annually based on experience.

About Ensemble

• Five-time winner of “Best in KLAS” (2020-2022, 2024-2025)
• Black Book Research's Top Revenue Cycle Management Outsourcing Solution (2021-2024)
• 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle (2019-2024)
• Leader in Everest Group's RCM Operations PEAK Matrix Assessment (2024)
• Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance (2020, 2022-2023)
• Energage Top Workplaces USA (2022-2024)
• Fortune Media Best Workplaces in Healthcare (2024)
• Monster Top Workplace for Remote Work (2024)
• Great Place to Work certified (2023-2024)