Director, Client Coding Integration

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:

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Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

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Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

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Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

EnsembleHealthPartnersisseekingastrategicandoperationallyfocused Director,ClientCodingIntegrations to lead physician coding integration initiatives for new and existing healthcareclients.ThisroleservesasakeypartnerbetweenCodingOperations,RevenueCycle,ClientServices,Technology,Implementation,andoperationalleadershipteamstoensureseamlesscodingtransitions,operationalreadiness,compliance,andlong-termsuccess.

Theidealcandidatewillbringdeepexpertisein professionalfee(physician)coding ,revenuecycleoperations,codingcompliance,providereducation,andclientrelationshipmanagement.Thisleaderwillberesponsibleforguidingcodingintegrationactivities,supportingoperationaltransformation,identifyingprocessimprovementopportunities,andensuringcodingbestpracticesareconsistentlyimplementedacrossclientengagements.

KeyResponsibilities

ClientCodingIntegrations

- Leadcodingintegrationactivitiesforphysicianbillingclientsduringonboarding,acquisitions,conversions,andoperationaltransitions.

- Serveastheprimarycodingsubjectmatterexpertthroughoutimplementationandtransitionefforts.

- Assessexistingcodingworkflows,policies,processes,andoperationalstructurestoidentifyopportunitiesforimprovementandstandardization.

- Partnerwithoperationalleaderstodeveloppost-integrationactionplansthatsupportquality,productivity,compliance,andfinancialperformance.

- Supportorganizationalreadinessactivitiesincludingtraining,communication,workflowdesign,andstakeholderengagement.

CodingOperations&Compliance

- ProvideexpertiserelatedtoICD-10-CM,CPT,HCPCS,modifierapplication,documentationrequirements,andregulatorycompliancestandards.

- CollaboratewithCompliance,RevenueIntegrity,ProviderEducation,andClientLeadershiptosupportcodingaccuracyandoperationalexcellence.

- Monitorcodingquality,productivity,auditfindings,andoperationalperformancemetrics.

- Assistwiththedevelopmentandimplementationofcorrectiveactionplansrelatedtocodingquality,documentation,andcomplianceconcerns.

- Supportinternalandexternalauditswhileensuringadherencetofederal,state,payer,andregulatoryrequirements.

RevenueCycleOptimization

- Analyzecoding-relatedtrends,denials,edits,andrevenuecycleperformanceindicatorstoidentifyrootcausesandrecommendsolutions.

- PartnerwithRevenueCycleteamstoimprovereimbursementaccuracy,reducedenials,andenhanceoperationalefficiency.

- Assistclientswithcodingworkflowredesign,processimprovements,andoperationaltransformationinitiatives.

- Supportimplementationofautomation,reporting,andtechnologysolutionsthatimprovecodingperformance.

RelationshipManagement

- Buildtrustedpartnershipswithphysicians,operationalleaders,codingteams,compliancedepartments,andclientstakeholders.

- Actasastrategicadvisorregardingphysiciancodingoperationsandregulatoryrequirements.

- Presentoperationalupdates,implementationprogress,risks,and