Director, Coding

Ensemble Health Partners

About The Position

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. The Opportunity: Our Core Values At Ensemble, we are guided by a strong commitment to integrity, accountability, collaboration, continuous improvement, and people‑first leadership. This role is expected to model these values daily—leading with transparency, fostering trust, and driving results while supporting the growth and well‑being of our teams and partners. Position Summary The Director, Coding – Professional Billing (Denials) provides strategic and operational leadership for enterprise‑level PB coding and denial prevention functions. This role is accountable for ensuring accurate, compliant, and efficient professional coding practices with a focused emphasis on denial reduction, root‑cause analysis, and payer rule adherence across assigned client partnerships. This position plays a critical role in scaling PB coding operations, strengthening denial management strategies, and driving standardization and continuous improvement in a dynamic, growth‑oriented environment.

Requirements

Bachelor’s degree required; Master’s degree preferred
8+ years of progressive experience in healthcare coding or revenue cycle operations, with deep expertise in Professional Billing
5+ years of people leadership experience managing managers and/or large PB coding teams
Strong background in PB coding denials, payer rules, and audit readiness
Demonstrated experience leading coding integrations, operational transformations, or large‑scale PB initiatives
Proven ability to partner cross‑functionally and communicate effectively with senior and executive stakeholders
CPC, CCS‑P, RHIA, RHIT, or equivalent professional coding certification(s)

Responsibilities

Provide strategic leadership and operational oversight for Professional Billing coding teams with a primary focus on denials prevention, resolution, and trend mitigation
Ensure PB coding accuracy and compliance with federal, state, and payer‑specific regulations, including CPT, ICD‑10‑CM, modifiers, and payer‑specific billing rules
Lead, develop, and mentor managers, supervisors, and coding professionals across distributed and/or offshore teams
Establish, monitor, and improve productivity, quality, denial rates, and turnaround time metrics; implement corrective action plans as needed
Partner closely with Denials, Audit, Compliance, CDI, Client Delivery, Technology, and Revenue Cycle leaders to drive alignment and performance improvement
Analyze denial trends and root causes; collaborate cross‑functionally to implement sustainable process and education solutions
Oversee PB coding integration efforts for new client implementations, transitions, and performance turnarounds
Maintain current knowledge of PB coding guidelines, regulatory updates, and payer policy changes; ensure timely education and communication to teams
Support internal and external audits, including preparation, response, and remediation planning related to PB coding and denials
Provide executive‑level reporting, insights, and recommendations related to denial risk, coding quality, and operational performance
Champion a culture of accountability, continuous improvement, and people‑centered leadership