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.

The Opportunity

We are seeking an experienced Director of Coding to lead and oversee coding operations supporting pediatric and pediatric surgical specialties. This role provides strategic and operational leadership to ensure coding accuracy, compliance, and performance across a complex pediatric care environment. The Director will partner closely with clinical, revenue cycle, and operational leaders while maintaining a strong on-site presence to support collaboration and execution.

Key Responsibilities

• Provide strategic and operational leadership for coding functions supporting pediatric and pediatric surgical services
• Ensure compliance with all applicable coding guidelines, regulatory requirements, and payer rules
• Oversee coding quality, productivity, and audit outcomes; implement corrective action plans as needed
• Lead, mentor, and develop coding leadership and staff, fostering a culture of accountability and continuous improvement
• Partner with clinical, revenue cycle, compliance, and operational stakeholders to support accurate charge capture and optimized reimbursement
• Establish and monitor key performance indicators (KPIs) related to coding accuracy, timeliness, and denial prevention
• Support system initiatives, workflow optimization, and technology enhancements related to coding operations
• Maintain an on-site presence (up to 50%) to support operational effectiveness, stakeholder engagement, and team leadership

Required Qualifications

• Bachelor’s degree or equivalent experience required
• Extensive experience in pediatric coding, including pediatric surgical specialties (required)
• Progressive leadership experience in coding operations, including people management
• Strong knowledge of ICD-10-CM/PCS, CPT, HCPCS, and pediatric-specific coding guidelines
• Proven experience driving coding quality, compliance, and operational performance
• Able to partner effectively with executive, clinical, and operational leaders

Preferred Qualifications

• Professional coding certification(s) (e.g., CCS, CPC, RHIA, RHIT)
• Experience leading coding operations within a large, complex pediatric healthcare environment
• Experience supporting hybrid or on-site operational models

Why Join Us

This role offers the opportunity to lead high-impact pediatric coding operations while partnering closely with clinical and operational leaders in a mission-driven healthcare environment. The Director will play a critical role in advancing coding excellence, compliance, and team development.

About Ensemble

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!

Employment Disclaimers

Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.