Director, Client Coding Integrations

Ensemble Health Partners•New York, CT

3d•Hybrid

About The Position

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. 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, and 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.

Requirements

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/or professional coding (ICD-10, CPT, HCPCS)
Experience supporting academic medical centers or large teaching hospitals
Proven track record managing high-volume operations and large, distributed teams
Strong analytical, operational, and stakeholder management skills

Nice To Haves

AHIMA or AAPC certification (e.g., RHIA, RHIT, CCS, CPC)
Experience leading enterprise-wide integrations or large-scale operational transformations
Background in coding quality, CDI, or performance analytics

Responsibilities

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
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
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
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
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
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