Job Description
Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners 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: We are seeking an experienced DIR,Coding to join our team in a hybrid capacity in Delaware. This role is responsible for ensuring accurate coding, regulatory compliance, and proper reimbursement for clinical services. The ideal candidate demonstrates strong technical coding expertise, attention to detail, and a deep understanding of coding guidelines and payer requirements. Active coding certifications are a requirement for this role. 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 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 Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: Associate Benefits – We offer a comprehensive be