Director, Client Coding Integrations

About the role

At Ensemble Health Partners, how we work matters just as much as what we deliver. Our culture is grounded in our core values: People First, Last + Always All for One + One for All Your Responsibility Extends Beyond Your Job Description Developing You Makes Us Better Don't Accept Complacency. The Status Quo Isn't Good Enough Position Overview The Director, Coding Integrations is a senior leadership role responsible for overseeing coding integration strategy, operations, and performance across a large, complex academic health system. This position ensures seamless alignment between coding operations, clinical documentation, and enterprise revenue cycle performance while maintaining the highest standards of accuracy, compliance, and stakeholder partnership. Given the scale, complexity, and academic nature of the environment, this role requires a strategic, highly visible leader capable of navigating multi-site operations, managing high clinical volumes, and driving consistent coding excellence across the system. Scope & Complexity of Role This role supports a high-volume, teaching facility environment, including: 263,000+ radiology procedures annually 14,000+ surgical cases 51,000+ emergency department visits, including ~9,000 admits 81,000+ inpatient days The breadth and volume of services require strong operational leadership, tight performance oversight, and scalable integration strategies to ensure accuracy, efficiency, and compliance.

Responsibilities

• Coding Integration Leadership
• Lead end-to-end coding integration strategy and execution across inpatient, outpatient, and professional services
• Ensure alignment of coding workflows, processes, and systems across multiple facilities and care settings
• Standardize policies, procedures, and best practices to drive consistency and efficiency across the enterprise
• Academic & Quality Oversight
• Ensure coding outputs align with academic medical center standards , regulatory requirements, and organizational expectations
• Partner closely with coding quality, education, and compliance teams to maintain high levels of accuracy and audit readiness
• Support provider engagement and clinical documentation improvement initiatives
• Performance & Operational Excellence
• Monitor and optimize coding KPIs including quality, productivity, turnaround time, and financial impact
• Analyze trends in denials, audits, and coding outcomes to identify opportunities for improvement
• Lead large-scale performance improvement initiatives to enhance revenue integrity and operational efficiency
• Escalation & Issue Resolution
• Serve as the primary escalation point for complex coding or client issues , ensuring rapid resolution and minimal operational disruption
• Partner with executive leadership and operational teams to address high-impact risks and challenges
• Drive accountability and follow-through on critical issues impacting performance or client satisfaction
• Multi-Site Coordination
• Provide oversight across multiple facilities and service lines , ensuring consistent execution and alignment
• Coordinate with Client Delivery, Operations, IT, and Clinical leadership to support system-level integration efforts
• Lead communication and change management initiatives across geographically dispersed teams
• Leadership & Team Development
• Lead, mentor, and develop coding integration leaders and teams to support scalability and growth
• Establish clear performance expectations and drive accountability across the organization
• Foster a high-performance culture aligned with Ensemble's values and client expectations

Requirements

• Required
• Bachelor's degree or equivalent experience
• 10+ years of progressive experience in healthcare coding, revenue cycle, or HIM
• 5+ years of leadership experience in complex, multi-site environments
• Deep expertise in inpatient, outpatient, and/o

Benefits

Additional Information

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.

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