Director, Client Coding Integration

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.

Key Responsibilities

• 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 Delaware, 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

Required Qualifications

• 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 to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI

Preferred Qualifications

• Experience supporting government programs or state-regulated healthcare services
• Prior audit or quality assurance experience
• Familiarity with Delaware healthcare regulations and reimbursement guidelines
• Associate’s or Bachelor’s degree in Health Information Management or related field

Work Environment

Hybrid schedule: combination of remote work and onsite presence in Delaware as required
Collaborative, compliance-focused healthcare environment
Ongoing training and professional development encouraged

About the Role

This role is responsible for ensuring accurate coding, regulatory compliance, and proper reimbursement for clinical services.

Benefits

Our Benefits Package includes: healthcare, time off, retirement, and well-being programs. We also offer professional certifications, quarterly and annual incentive programs, and reasonable accommodations for qualified individuals with disabilities.

Pay

Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.

Schedule

This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.