Ensemble Health Partners is looking for a Director, Client Coding Integration. You will be responsible for ensuring accurate coding, regulatory compliance, and proper reimbursement for clinical services. This role requires strong technical coding expertise, a deep understanding of coding guidelines and payer requirements, and a commitment to detail.
What You'll Do
- Assign accurate ICD‑10‑CM, CPT, and HCPCS Level II codes in accordance with DIR‑1 and state or 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 by collaborating with clinical and billing teams.
- Maintain compliance with CMS, the 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.
What We're Looking For
- Active coding certification such as CPC, CCS, CCS‑P, RHIT, or RHIA.
- 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.
Nice to Have
- Experience supporting government programs or state‑regulated healthcare services.
- Prior audit or quality assurance experience.
- Familiarity with New Mexico healthcare regulations and reimbursement guidelines.
- Associate’s or Bachelor’s degree in Health Information Management or a related field.
Technical Stack
- Electronic health records (EHR)
- Coding software
Team & Environment
You will work within a collaborative, compliance‑focused healthcare environment.
Benefits & Compensation
- Comprehensive benefits package designed to support physical, emotional, and financial health.
- Time off, retirement, and well‑being programs.
- Professional development investment, including support for professional certification relevant to your field.
- Tuition reimbursement.
- Quarterly and annual incentive programs.
Work Mode
This is a hybrid position based in New Mexico.
Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information, or any other basis protected by applicable federal, state, or local laws.
