Director, Client Coding Integration

🕒 Junho 10

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

👻 Score fantasma 56%

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Ensemble Health Partners

SiteLinkedInTodas as Vagas

5001 - 10000 funcionários

💼 Consultoria

🛡️ Seguros

📦 Logística

💰 Private Equity Round em 2022-03

Consulting • Insurance • Logistics

A Ensemble Health Partners é uma das principais fornecedoras de serviços de gestão do ciclo de receita (RCM) para organizações de saúde. Eles oferecem uma solução RCM completa que ajuda hospitais, sistemas de saúde e grupos de médicos afiliados a otimizar seus ciclos de receita, reduzir recusas e pagamentos incorretos, e melhorar as experiências dos pacientes usando uma combinação de gestão especializada e tecnologia avançada. A Ensemble Health Partners utiliza operadores certificados e inteligência artificial para entregar resultados consistentes, melhorar as cobranças e apoiar o crescimento futuro dos provedores de saúde. Eles são reconhecidos por suas parcerias robustas com clientes e pelo compromisso em proporcionar aumento confiável de receita e economia de custos para seus clientes.

Descrição

• 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 coding workflows, policies, processes, and operational structures to identify improvement and standardization opportunities • Develop post-integration action plans supporting quality, productivity, compliance, and financial performance • Support organizational readiness through training, communication, workflow design, and stakeholder engagement • Provide expertise on ICD-10-CM, CPT, HCPCS, modifier application, documentation requirements, and regulatory compliance • Monitor coding quality, productivity, audit findings, and operational performance metrics • Develop and implement corrective action plans for coding quality, documentation, and compliance concerns • Support internal and external audits and adherence to federal, state, payer, and regulatory requirements • Analyze coding trends, denials, edits, and revenue cycle indicators to identify root causes and recommend solutions • Partner with Revenue Cycle teams to improve reimbursement accuracy, reduce denials, and enhance efficiency • Assist clients with coding workflow redesign, process improvement, and operational transformation • Support automation, reporting, and technology solutions that improve coding performance • Build partnerships with physicians, operational leaders, coding teams, compliance departments, and client stakeholders • Advise on physician coding operations and regulatory requirements • Present updates, implementation progress, risks, and recommendations to leadership • Facilitate communication between internal and external stakeholders during implementations

🎯 Requisitos

• 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, Evaluation & Management (E/M) coding, and 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 • Ability to lead complex projects and influence stakeholders across multiple departments • Ability to travel up to 50% within the assigned state and client locations • Must possess one or more active coding credentials: CPC, CCS, CCS-P, RHIT, or RHIA • Preferred: experience with large-scale physician practice integrations, acquisitions, or implementation projects • Preferred: experience with Epic, Cerner, Meditech, Athena, eClinicalWorks, or other major healthcare platforms • Preferred: background in revenue integrity, coding compliance, auditing, provider education, or CDI • Preferred: experience managing client-facing healthcare operations • Preferred: knowledge of AI-enabled tools, coding automation technologies, Power BI, Copilot, or workflow optimization solutions • Preferred: experience supporting multi-state or national healthcare operations

🏖️ Benefícios

• Comprehensive benefits package including healthcare, time off, retirement, and well-being programs • Professional development investment • Each associate will earn a professional certification relevant to their field • Tuition reimbursement • Quarterly and annual incentive programs for employees who go beyond • Remote work recognition / work-life flexibility