• Performs audits of medical record documentation to determine the accuracy of principal and secondary diagnosis (including MCC & CC) and procedure codes. • Adheres to official coding guidelines, coding clinics and regulatory guidelines and mandates. • Draws on advanced ICD-10 coding expertise to substantiate conclusions. • Utilizes proprietary auditing systems with a high level of proficiency to document audit determinations and rationale. • Consistently achieves productivity and quality performance standards established by management. • Actively cross-trains to perform reviews of multiple claim types to provide a flexible workforce to meet client needs. • Assists management with training new Coding Auditors to include daily monitoring, mentoring, feedback and education. • Maintains current knowledge of coding guidelines and successfully completes required CEUs to maintain coding certification. • Responsible for attending training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations.

• Lead and conduct complex financial audits related to Medicaid and CHIP, ensuring compliance with state and federal requirements. • Evaluate financial management practices, internal controls, and payment integrity across Medicaid programs. • Analyze large-scale financial datasets to identify trends, risks, improper payments, and opportunities for improved financial performance. • Prepare detailed audit reports including findings, recommendations, and corrective action guidance. • Collaborate with cross-functional teams, program integrity groups, and state/federal stakeholders to support strategic financial oversight initiatives. • Support proactive, high‑quality financial management activities aligned with CMS oversight priorities, similar to responsibilities defined under Medicaid Financial Oversight Analysis efforts. • Ensure audit activities are aligned with best practices in federal program stewardship and financial integrity.

Role Description The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Provides guidance and leadership to coding and billing management in the implementation and administration of effective systems, processes, and procedures. Performs annual performance reviews and quality assurance reviews to assess comprehension of training efforts. Serves as a subject matter expert for professional fee coding for all involved personnel; ensures that information is accurate and current, meeting professional coding standards. Ability to code and a clear understanding of the coding principles and guidelines for various specialties including Neurosurgery, Intervention Radiology, ENT, General Surgery, Cardiology, Anesthesia, Emergency Department. Job Responsibilities - Quality Review: Monitors and audits inpatient and outpatient accounts across the system, looking at HIM facility coding for both inpatient and outpatient accounts. Performs annual performance, randomized and quality assurance reviews to assess comprehension of training efforts. Also assists in CHAN and other external audits. - Educating: Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW and develops programs or researches educational resources to meet those needs. Assists with Task Force, CDE and quality department related education. Creates presentations, develops learning material, handbook and other educational materials. - Edits/Denials/Coding: Assists with edits, denials and appeals. Also assists with coding and working holds on an as needed basis. - Training: Assists with training new and existing staff. Develops all training materials and coding aids for both formal training and use by coders in daily work. Identifies coders to be cross-trained and suggests areas for training improvement. Assists in the implementation and administration of effective systems, processes, and procedures. - Coordinating: Coordinates the presentation of ongoing professional seminars and materials via audio-conferences, webinars, and other publications. Maintains education records on all staff to include attendance records for all coding related educational activities. - Resource: Serves as a technical resource for all involved personnel; ensures that information is accurate and current, meeting professional coding standards. Performs miscellaneous job-related duties as assigned. - Reporting: Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Assists with the creation of various documents and reports as requested. Immediately provides reports related to compliance risks when requested. Qualifications - 5+ years of coding experience. - 3+ years of auditing experience. - Proficiency in multiple EMR’s, encoders, and the Microsoft Office suite. - Educated in HIPAA regulations; must maintain strict confidentiality of patient and client information. - Consistently achieves quality and productivity standards. - Ability to organize and complete work in a timely manner. - Ability to read, write and effectively communicate in English. - Ability to understand medical/surgical terminology. - Above average written and verbal communication skills. - 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. Minimum Education - Associates Degree or Equivalent Experience Required Certifications - 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-Phys Based) - CCS (Certified Coding Specialist) - CMPA (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

Role Description - Provide accurate reconditioning estimates for body, detail and mechanic (including PSI) services. Estimates will include but not be limited to, commercial, dealer, rental and retail customers as well as any lot or internal damage. - Communicate estimates in required formats (i.e., electronic, email, written, etc.) required to meet all internal and external customer expectations. - Work with Procurement/Purchasing staff to assure accurate pricing of parts and supplies required for estimates. - Monitor repair status, completion timelines, transportation and customer communications related to approved reconditioning estimates, as directed by management. - Visibly demonstrate safety commitment by following all safety and health procedures and modeling the behaviors related to such. Actively participate in support of all safety activities aligned with Safety Excellence. - Perform other duties as assigned by management. Qualifications - High School Diploma or GED equivalent required. - 1 year of customer service experience preferred. - 1 – 3 years of collision and/or mechanical estimating experience preferred. - Valid driver’s license and safe driving record required. - Ability to drive vehicles with standard and automatic transmissions. - Ability to work in a fast-paced environment. - Effective verbal communication and customer service skills. - Good organizational and interpersonal skills. - Basic leadership skills preferred. - Exhibit strong leadership skills. - Ability to lift and carry up to 25 pounds (e.g. tools, equipment). - Vision abilities required include close, distance and color vision, depth perception and ability to adjust focus. Requirements - To be employed in this role, you’ll need to clear a pre-employment drug test. Cox Automotive does not currently administer a pre-employment drug test for marijuana for this position. However, we are a drug-free workplace, so the possession, use or being under the influence of drugs illegal under federal or state law during work hours, on company property and/or in company vehicles is prohibited. Benefits - Hourly base pay rate is in the range of $18.17 - $27.31/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate’s knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program. - Employees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. - Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave. - Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO).