Director, Client Coding Integration

About the role

We are seeking an experienced Director of Coding to lead and oversee coding operations supporting pediatric and pediatric surgical specialties . This role provides strategic and operational leadership to ensure coding accuracy, compliance, and performance across a complex pediatric care environment. The Director will partner closely with clinical, revenue cycle, and operational leaders while maintaining a strong on‑site presence to support collaboration and execution.

Responsibilities

• Provide strategic and operational leadership for coding functions supporting pediatric and pediatric surgical services
• Ensure compliance with all applicable coding guidelines, regulatory requirements, and payer rules
• Oversee coding quality, productivity, and audit outcomes; implement corrective action plans as needed
• Lead, mentor, and develop coding leadership and staff, fostering a culture of accountability and continuous improvement
• Partner with clinical, revenue cycle, compliance, and operational stakeholders to support accurate charge capture and optimized reimbursement
• Establish and monitor key performance indicators (KPIs) related to coding accuracy, timeliness, and denial prevention
• Support system initiatives, workflow optimization, and technology enhancements related to coding operations
• Maintain an on‑site presence (up to 50% ) to support operational effectiveness, stakeholder engagement, and team leadership
• Required Qualifications
• Bachelor's degree or equivalent experience required
• Extensive experience in pediatric coding , including pediatric surgical specialties (required)
• Progressive leadership experience in coding operations, including people management
• Strong knowledge of ICD‑10‑CM/PCS, CPT, HCPCS, and pediatric‑specific coding guidelines
• Proven experience driving coding quality, compliance, and operational performance
• Ability to partner effectively with executive, clinical, and operational leaders

Requirements

• Professional coding certification(s) (e.g., CCS, CPC, RHIA, RHIT)
• Experience leading coding operations within a large, complex pediatric healthcare environment
• Background supporting hybrid or on‑site operational models
• Why Join Us
• This role offers the opportunity to lead high‑impact pediatric coding operations while partnering closely with clinical and operational leaders in a mission‑driven healthcare environment. The Director will play a critical role in advancing coding excellence, compliance, and team development.
• 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 certificatio

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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