DRG Senior Educator, Coding

Thank you for considering a career at Ensemble! 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. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose:

Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

This position pays between $69,400 to $119,700 annually based on experience

The DRG Senior Coding Educator acts as a subject matter expert to educate, train, and develop/revise processes in coordination with leadership to assist in achieving CDI’s goal of facilitating accurate and complete documentation for coding and the capture of severity, acuity, and risk of mortality and most accurate Diagnosis Related Group (DRG) assignments.

Implements and continuously develops onboarding for all new Clinical Documentation Specialists (CDSs) for mentoring and education needs. Leads and coordinates training of new CDI staff. Collaborate with CDI leadership and other clinicians to facilitate the ongoing relevance of department specific orientation content, educational materials, and training programs/resources.

Formulates customized education to other healthcare professionals based on audience and areas of opportunity. Audiences include, but are not limited to CDS/Coders, providers, mid-levels, nursing, dietary, Quality, etc. Education provided includes 1:1 education and/or group education. Interacts with medical staff members, directors, and senior hospital leadership staff as needed.

Makes recommendations for documentation improvement and queries to capture care and intensity of services as supported within the medical record documentation.

Demonstrates understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and the impact of procedures on the final Diagnosis Related Group (DRG).

Educate members of the CDI team and providers on the review functions within the CDI program to meet and maintain enterprise goals and objectives, regulatory compliance, policies and procedures and standard operating procedures. Assist with the development and maintenance of system CDI policies and procedures. Remain current on CDI guidelines and practices.

Ensures program compliance by following coding guidelines and coding clinics. Remains current with coding information to ensure accuracy of codes assigned based on documentation.

Serve as a key resource for accurate and ethical documentation standards and regulatory requirements.

Demonstrates the ability to draft compliant queries as endorsed by AHIMA and ACDIS.

Performs medical record reviews for completeness and accuracy in capturing severity of illness, risk of mortality and clinical validation.

Determines if professionally recognized standards of quality care are met.

Audits CDSs as needed to ensure that system objectives are met. Develops educational plan for individual CDS based on Quality Audit (QA) outcomes. Provides 1:1 mentoring as needed.

Oversees and coordinates SMART related education, meetings, and requirements for the department and as instructed by the SMART department.

3+ years related experience with clinical documentation and/or coding

Experience with multiple EMRs (Epic, Meditech and Cerner)

Detail oriented and self-motivated

Strong organizational skills

Excellent speaking and presentation skills

Working knowledge of Microsoft applications, including creation of Power Point presentations.

Could require minimal travel

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.

Bachelors Degree or Equivalent Experience

MD (Doctor of Medicine)

OR

RN (Registered Nurse)

Candidates must have and keep current at least one of the following professional certifications (CPC, CPMA or CCS Preferred):

CCS (Certified Coding Specialist)

CPC (Certified Professional Coder)

CPMA (Certified Professional Medical Auditor)

RHIA (Registered Health Information Administrator)

RHIT (Registered Health Information Technician)

Certified Revenue Cycle Representative (CRCR) completion within 9 months of hire

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

Innovation

Work-Life Flexibility

Leadership

Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

Associate Benefits – We offer a 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.

Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.

Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.

Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

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. Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States. 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. 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.