Director, Client Coding Integration

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Ensemble Health Partners

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

💼 Consulting

🛡️ Insurance

📦 Logistics

💰 Private Equity Round on 2022-03

Consulting • Insurance • Logistics

Ensemble Health Partners is a leading provider of revenue cycle management (RCM) services for healthcare organizations. They offer an end-to-end RCM solution that helps hospitals, health systems, and affiliated physician groups optimize their revenue cycles, reduce denials and underpayments, and enhance patient experiences using a combination of expert management and advanced technology. Ensemble Health Partners leverages certified operators and AI to deliver consistent results, improve collections, and support future growth for healthcare providers. They are recognized for their robust client partnerships and commitment to delivering reliable revenue lift and cost savings for their 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 • Assist with corrective action plans related to coding quality, documentation, and compliance • 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 • Assist clients with coding workflow redesign, process improvements, 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 operational updates, implementation progress, risks, and recommendations to leadership • Facilitate communication between internal and external stakeholders during implementation activities

🎯 Requirements

• 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, 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 supporting 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

🏖️ Benefits

• 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 expectations • Reasonable accommodations for qualified individuals with disabilities • Remote work recognition/award context