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Director, Client Coding Integration
Ensemble Health PartnersDIR, Coding responsible for accurate coding and regulatory compliance for clinical services. Requires strong technical coding expertise and active coding certifications in a hybrid role.
About the role
Key responsibilities & impact- Assign accurate ICD‑10‑CM, CPT, and HCPCS Level II codes in accordance with DIR‑1 and state/federal guidelines
- Review clinical documentation to ensure completeness, accuracy, and compliance
- Abstract and code diagnoses, procedures, and services for billing and reporting purposes
- Identify and resolve coding discrepancies and documentation gaps in collaboration with clinical and billing teams
- Maintain compliance with CMS, state of New Mexico , and payer‑specific regulations
- Support internal and external audits by providing documentation and coding justification
- Stay current on coding updates, regulatory changes, and industry best practices
- Meet established productivity and quality benchmarks
- Protect patient confidentiality and uphold HIPAA standards at all times
Requirements
What you’ll need- Active coding certification required , such as: CPC, CCS, CCS‑P, RHIT, or RHIA
- Minimum 2–3 years of professional medical coding experience
- Strong working knowledge of ICD‑10‑CM, CPT, and HCPCS
- Demonstrated experience with DIR‑1 coding standards or regulated healthcare environments
- Proficiency with electronic health records (EHR) and coding software
- High attention to detail with a strong commitment to accuracy and compliance
- Ability to work independently in a hybrid environment and manage time effectively
- Demonstrated advanced usage of AI and the management of teams using AI
Benefits
Comp & perks- healthcare
- time off
- retirement
- well-being programs
- professional development
- incentive programs
ATS Keywords
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Hard Skills & Tools
ICD-10-CMCPTHCPCS Level IIDIR-1 coding standardsmedical codingbillingcoding discrepancies resolutionclinical documentation reviewcoding softwareelectronic health records
Soft Skills
attention to detailcommitment to accuracycompliancetime managementindependent workcollaborationproblem-solvingcommunication
Certifications
CPCCCSCCS-PRHITRHIA