Ember
AI RCM. Onboard in 3 days or less. Reduce claim denials by 55%.
Senior Medical Coding Specialist
About the role
Ember is seeking an experienced medical coding professional to join our team as a Senior Medical Coding Specialist. This role will focus on auditing and coding complex surgical notes. The ideal candidate will leverage their expertise to ensure accurate code assignment, compliance with regulations, and optimal reimbursement for our clients.
Essential Responsibilities
- Analyze and audit complex surgical operative notes, particularly in cardiology and orthopedics, to ensure accurate code assignment and compliance.
- Assign appropriate ICD-10, CPT, HCPCS codes and modifiers based on clinical documentation and payer requirements.
- Serve as a key liaison between clinical teams and revenue cycle management, addressing coding inquiries and resolving complex coding issues.
- Stay current with coding guidelines, payer policies, and regulatory changes affecting cardiology, orthopedics, and surgical specialties.
- Identify and resolve coding edits and denials, implementing strategies to enhance revenue integrity.
- Participate in quality improvement initiatives to optimize coding accuracy and efficiency.
- Contribute to the development and maintenance of specialty-specific coding resources.
Required Qualifications
- CPC or CCS certification required.
- 3-5 years of experience in medical coding with emphasis on surgical procedures.
- Demonstrated expertise in cardiology and orthopedic coding.
- Proficiency in both inpatient and outpatient coding environments.
- Advanced knowledge of anatomy, physiology, and medical terminology.
Preferred Qualifications
- Additional specialty coding certifications (e.g., CCS-P, CCVTC).
- Experience in auditing and identifying documentation improvement opportunities.
- Background in revenue cycle management or denials management.
- Experience with AI-assisted coding technologies.
- Knowledge of compliance programs and regulatory requirements.
Competencies
- Decision Making: Ability to make decisions guided by coding guidelines, policies, and objectives. Regularly makes recommendations on complex coding scenarios.
- Problem Solving: Ability to address varied coding challenges requiring analysis and interpretation using direct observation, knowledge, and skills.
- Communication: Excellent written and verbal communication skills to effectively interact with clinical providers and administrative staff.
- Technical Knowledge: In-depth knowledge of coding concepts, practices, and policies with ability to apply them in complex clinical scenarios.
- Attention to Detail: High level of accuracy and thoroughness in coding work.
About Ember
At Ember, we're tackling one of healthcare's most costly and overlooked challenges: the massive inefficiency in clinical documentation and revenue cycle management. Medical practices lose billions annually due to incomplete documentation, missed billing opportunities, and denied claims - issues that stem from antiquated systems that force clinicians to choose between patient care and paperwork.
While electronic health records promised to streamline healthcare delivery, they've often done the opposite. Clinicians spend nearly half their time on documentation and billing-related tasks, leading to burnout and reduced patient care quality. This administrative burden costs the US healthcare system over $950 billion annually, expenses that ultimately impact patient access and care quality.
As one of the top startups from the most recent Y Combinator batch, we're building an intelligent system that fundamentally reimagines how clinical documentation and revenue optimization should work. We combine ambient listening technology with deep understanding of medical billing requirements to eliminate the administrative burden that plagues healthcare providers. We're looking for experts who want to solve complex financial challenges while making a meaningful impact on healthcare delivery.
