Director, Client Coding Integration

🕒 il y a 2 mois

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🔴 Expert

👔 Directeur

👻 Score fantôme 41%

Ce que ça veut dire : la probabilité que personne ne recrute vraiment pour cette offre.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Ensemble Health Partners

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5001 - 10000 employés

💼 Conseil

🛡️ Assurance

📦 Logistique

💰 Private Equity Round en 2022-03

Consulting • Insurance • Logistics

Ensemble Health Partners est un leader dans la fourniture de services de gestion du cycle de revenus (RCM) pour les organisations de santé. Ils offrent une solution RCM de bout en bout qui aide les hôpitaux, les systèmes de santé et les groupes de médecins affiliés à optimiser leurs cycles de revenus, réduire les refus et les sous-paiements, et améliorer l'expérience des patients grâce à une combinaison de gestion experte et de technologie avancée. Ensemble Health Partners s'appuie sur des opérateurs certifiés et l'IA pour fournir des résultats constants, améliorer les recouvrements et soutenir la croissance future des prestataires de soins de santé. Ils sont reconnus pour leurs solides partenariats clients et leur engagement à offrir une augmentation fiable des revenus et des économies de coûts pour leurs clients.

Description

• 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 for improvement and standardization • 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 operational efficiency • Support coding workflow redesign, process improvements, operational transformation, automation, reporting, and technology solutions • Build partnerships with physicians, operational leaders, coding teams, compliance departments, and client stakeholders • Advise on physician coding operations and regulatory requirements • Present operational updates, implementation progress, risks, and recommendations to leadership teams • Facilitate communication between internal and external stakeholders during implementation activities

🎯 Exigences

• 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

🏖️ Avantages

• 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 all employees who go beyond • Remote work recognition / workplace flexibility

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