Director, Client Coding Integration

Ensemble; Pittsburgh (Allegheny County); Híbrido; USD 97.000 - 146.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive benefits

Professional development

Tuition reimbursement

Recognition programs

Descripción de la vacante

Ensemble Health Partners is seeking a Director, Client Coding Integrations to lead physician coding integration initiatives for new and existing healthcare clients. This role collaborates across Coding Operations, Revenue Cycle, Client Services, Technology and Implementation, with 50% onsite in Pittsburgh, PA.

You will guide coding transition activities, ensure compliance, and drive operational readiness while leveraging deep expertise in ICD-10-CM, CPT, HCPCS and professional fee reimbursement.

Formación

• 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, E/M coding and professional fee reimbursement methodologies.

Responsabilidades

• Lead coding integration activities for physician billing clients during onboarding, acquisitions, conversions, and transitions; be the primary coding SME.
• Provide expertise on coding compliance and regulatory standards; monitor quality and performance.
• Analyze revenue cycle performance and implement process improvements; support automation and reporting initiatives.
• Build trusted partnerships with physicians and client leadership; communicate progress, risks, and recommendations to stakeholders.

Conocimientos

Healthcare coding

Leadership

Project management

Strategic thinking

Stakeholder management

Communication

Educación

Bachelor's degree or equivalent

Herramientas

Epic

Cerner

Meditech

Athena

Descripción del empleo

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity

Ensemble Health Partners is seeking a strategic and operationally focused Director, Client Coding Integrations to lead physician coding integration This role leads coding integration initiatives for new and existing healthcare clients and is 50% onsite in Pittsburgh, Pennsylvania. This role serves as a key partner between Coding Operations, Revenue Cycle, Client Services, Technology, Implementation, and operational leadership teams to ensure seamless coding transitions, operational readiness, compliance, and long-term success. The ideal candidate will bring deep expertise in professional fee (physician) coding, revenue cycle operations, coding compliance, provider education, and client relationship management. This leader will be responsible for guiding coding integration activities, supporting operational transformation, identifying process improvement opportunities, and ensuring coding best practices are consistently implemented across client engagements.

Key Responsibilities

• Client Coding Integrations 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.
• Coding Operations & Compliance 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.
• Revenue Cycle Optimization 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.
• Relationship Management 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.

Required Qualifications

• 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.
• Demonstrated ability to lead complex projects and influence stakeholders across multiple departments.
• Ability to work 50% onsite in Pittsburgh, Pennsylvania.
• Required Certifications Candidates must possess one or more active coding credentials: CPC (Certified Professional Coder) CCS (Certified Coding Specialist) CCS-P (Certified Coding Specialist – Physician-Based) RHIT (Registered Health Information Technician) RHIA (Registered Health Information Administrator)

Preferred Qualifications

• Experience supporting large‑scale physician practice integrations, acquisitions, or implementation projects.
• Experience with Epic, Cerner, Meditech, Athena, eClinicalWorks, or other major healthcare platforms.
• Background in revenue integrity, coding compliance, auditing, provider education, or CDI.
• Experience managing client‑facing healthcare operations.
• Knowledge of AI‑enabled tools, coding automation technologies, Power BI, Copilot, or workflow optimization solutions.
• Experience supporting multi‑state or national healthcare operations.

This position pays between $97,000 - $145,500.

Join an award‑winning company Five‑time winner of “Best in KLAS” 2020‑2022, 2024‑2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021‑2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019‑2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022‑2023 Energage Top Workplaces USA 2022‑2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023‑2024 Innovation Work‑Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well‑being programs.
• Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
• Growth – We invest in your professional development. Each associate will earn a professional certification relevant to your field and can obtain tuition reimbursement.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.

Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.

Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.

Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [e-mail].