Director, Client Coding Integration

Ensemble Health Partners • Pittsburgh, PA

3d • Hybrid

About The Position

Ensemble Health Partners is seeking a strategic, operationally focused Director, Client Coding Integration to lead physician coding integration initiatives for new and existing healthcare clients. The role serves as a key partner to Coding Operations, Revenue Cycle, Client Services, Technology, Implementation, and operational leadership, supporting seamless coding transitions, operational readiness, compliance, and long-term success. The position is 50% onsite in Pittsburgh, Pennsylvania.

The director guides coding integration activities, supports operational transformation, identifies process improvement opportunities, and promotes consistent coding best practices across client engagements. The role requires expertise in professional fee coding, revenue cycle operations, coding compliance, provider education, and client relationship management. It also involves assessing coding workflows and performance, supporting audits and corrective action plans, improving reimbursement and efficiency, and advising clients and leaders on physician coding operations and regulatory requirements.

Requirements

• Bachelor's degree or equivalent combination of education and experience.
• At least 7 years of progressive experience in healthcare coding, physician billing, revenue cycle, or health information management.
• At least 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.
• At least one active coding credential: CPC, CCS, CCS-P, RHIT, or RHIA.

Nice To Haves

• 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.

Responsibilities

• Lead physician billing coding integration activities during onboarding, acquisitions, conversions, and operational transitions.
• Serve as the primary coding subject matter expert throughout implementation and transition efforts.
• Assess coding workflows, policies, processes, and operational structures, and identify opportunities for improvement and standardization.
• Partner with operational leaders to develop post-integration action plans supporting quality, productivity, compliance, and financial performance.
• Support organizational readiness through training, communication, workflow design, and stakeholder engagement.
• Provide expertise on ICD-10-CM, CPT, HCPCS, modifier application, documentation requirements, and regulatory compliance.
• 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.
• Help develop and implement corrective action plans for coding quality, documentation, and compliance concerns.
• Support internal and external audits and ensure adherence to federal, state, payer, and regulatory requirements.
• Analyze coding 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.
• Advise clients and stakeholders on physician coding operations and regulatory requirements.
• Present operational updates, implementation progress, risks, and recommendations to leadership teams.
• Facilitate communication between internal and external stakeholders throughout implementation activities.

Benefits

• Comprehensive benefits package supporting physical, emotional, and financial health, including healthcare, time off, retirement, and well-being programs.
• Professional development opportunities.
• Tuition reimbursement.
• Quarterly and annual incentive programs for employees who exceed expectations.
• Professional certification relevant to the associate's field.

What This Job Offers

• Job Type: Full-time
• Career Level: Director