Director, Client Coding Integration

Ensemble RCM; United States; Teletrabalho; USD 140 000 - 200 000; Tempo integral

Resumo da oferta

Ensemble Health Partners seeks a strategic Director of Client Coding Integrations to lead physician coding integration initiatives across onboarding, acquisitions, and transitions. You will align Coding Operations, Revenue Cycle, Client Services, Technology, and Implementation to ensure readiness, compliance, and long-term success.

The role requires deep expertise in professional coding, revenue cycle operations, and client relationship management, with a focus on standardizing processes and

Qualificações

• Bachelor's degree or equivalent combination of education and experience.
• 7+ years of progressive healthcare coding / revenue cycle experience.
• 3+ years of leadership, consulting, project management, or implementation experience.
• Extensive knowledge of ICD-10-CM, CPT, HCPCS, E/M coding, and documentation requirements.
• Experience supporting physician practice operations, professional coding programs, or multispecialty physician groups.
• Strong understanding of professional fee billing and reimbursement methodologies.

Responsabilidades

• Lead coding integration activities for physician billing clients during onboarding, acquisitions, conversions, and 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.

Conhecimentos

Healthcare coding

Leadership

Project management

Regulatory compliance

Revenue cycle

Client relationship management

Formação académica

Bachelor's degree

Descrição da oferta de emprego

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 initiatives for new and existing healthcare clients. 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-CMCPTHCPCSEvaluation & Management (E/M) codingProfessional fee billing and reimbursement methodologies

Experience supporting physician practice operations, professional coding programs, or multispecialty physician groups.

Strong understanding of