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Ensemble

Director, Client Coding Integration

RemoteUnited States only
Published
Experience
Senior
Employment
Full-time
Company size
Enterprise
Salary not disclosed
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No BS summary

Senior healthcare coding leader to run physician coding integration projects for onboarding/conversions. Requires deep expertise in professional fee coding (ICD-10-CM/CPT/HCPCS), revenue cycle operations, coding compliance, and 7+ years healthcare coding experience. Remote (nationwide US) with up to 50% travel and required active coding credential (CPC/CCS/CCS-P/RHIT/RHIA).

Core skills

ICD-10-CMCPTprofessional fee billing

Required skills

HCPCSmodifier applicationEvaluation & Management (E/M) codingrevenue cycle operationscoding complianceaudit processesprovider educationPower BIEpicCernerMeditechAthenaeClinicalWorksreimbursement methodologiesaudit/coding quality monitoringPhysician/professional fee codingE/M codingaudit/corrective action plans

Optional skills

experience with Epicexperience with Cernerexperience with Meditechexperience with Athenaexperience with eClinicalWorksAI-enabled coding toolscoding automation technologiesCopilot

What you'll do

  • Lead coding integration activities for physician billing clients during onboarding, acquisitions, conversions, and operational transitions.
  • Serve as the primary coding subject matter expert throughout implementation and transition efforts.
  • Assess existing coding workflows, policies, processes, and operational structures to identify opportunities for improvement and standardization.
  • Partner with operational leaders to develop post-integration action plans that support quality, productivity, compliance, and financial performance.
  • Support organizational readiness activities including training, communication, workflow design, and stakeholder engagement.
  • Provide expertise related to ICD-10-CM, CPT, HCPCS, modifier application, documentation requirements, and regulatory compliance standards.
  • Collaborate with Compliance, Revenue Integrity, Provider Education, and Client Leadership to support coding accuracy and operational excellence.
  • Monitor coding quality, productivity, audit findings, and operational performance metrics.
  • Assist with the development and implementation of corrective action plans related to coding quality, documentation, and compliance concerns.
  • Support internal and external audits while ensuring adherence to federal, state, payer, and regulatory requirements.
  • Analyze coding-related trends, denials, edits, and revenue cycle performance indicators to identify root causes and recommend solutions.
  • Partner with Revenue Cycle teams to improve reimbursement accuracy, reduce denials, and enhance operational efficiency.
  • Assist clients with coding workflow redesign, process improvements, and operational transformation initiatives.
  • Support implementation of automation, reporting, and technology solutions that improve coding performance.
  • Build trusted partnerships with physicians, operational leaders, coding teams, compliance departments, and client stakeholders.
  • Act as a strategic advisor regarding physician coding operations and regulatory requirements.
  • Present operational updates, implementation progress, risks, and recommendations to leadership teams.
  • Facilitate effective communication between internal and external stakeholders throughout implementation activities.
  • Assist with development and implementation of corrective action plans related to coding quality, documentation, and compliance concerns.
  • Support internal and external audits ensuring adherence to federal, state, payer, and regulatory requirements.

What they require

  • Bachelor's degree or equivalent combination of education and experience.
  • Minimum of 7 years of progressive healthcare coding, physician billing, revenue cycle, or health information management experience.
  • Minimum of 3 years of leadership, consulting, project management, or implementation experience.
  • Extensive knowledge of ICD-10-CM, CPT, HCPCS, modifier application, documentation requirements, and regulatory compliance standards.
  • Demonstrated experience with professional fee billing and reimbursement methodologies.
  • Experience supporting physician practice operations, professional coding programs, or multispecialty physician groups.
  • Strong understanding of healthcare compliance, regulatory requirements, and payer guidelines.
  • Demonstrated ability to lead complex projects and influence stakeholders across multiple departments.
  • Ability to travel up to 50% within the assigned state and client locations.
  • Required: one or more active coding credentials: CPC, CCS, CCS-P, RHIT, or RHIA.
  • Candidates must possess one or more active coding credentials: CPC, CCS, CCS-P, RHIT, or RHIA.

Benefits

  • Comprehensive healthcare benefits
  • Time off
  • Retirement benefits
  • Well-being programs
  • Tuition reimbursement and professional certification support
  • Quarterly and annual incentive programs
  • Work-life flexibility initiatives
  • Comprehensive benefits package including healthcare, time off, retirement, and well-being programs.
  • Tuition reimbursement and professional certification support.
  • Quarterly and annual incentive programs.
  • Recognition programs.
  • Work-life flexibility and award-winning workplace recognitions.
  • Reasonable accommodations in application process (contact TA@ensemblehp.com).
  • Recognition and growth opportunities.
  • Equal employment opportunity and ADA accommodations (contact TA@ensemblehp.com).

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.

HealthcareEnterpriseensemble-mouvement.com/

What people say about this company

3.4/ 5

Salary not disclosed