Thank you for considering a career at 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!
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:
At Ensemble, we are guided by a strong commitment to integrity, accountability, collaboration, continuous improvement, and people‑first leadership. This role is expected to model these values daily—leading with transparency, fostering trust, and driving results while supporting the growth and well‑being of our teams and partners.
Position SummaryThe Director, Coding – Professional Billing (Denials) provides strategic and operational leadership for enterprise‑level PB coding and denial prevention functions. This role is accountable for ensuring accurate, compliant, and efficient professional coding practices with a focused emphasis on denial reduction, root‑cause analysis, and payer rule adherence across assigned client partnerships.
This position plays a critical role in scaling PB coding operations, strengthening denial management strategies, and driving standardization and continuous improvement in a dynamic, growth‑oriented environment.
Key Responsibilities- Provide strategic leadership and operational oversight for Professional Billing coding teams with a primary focus on denials prevention, resolution, and trend mitigation
- Ensure PB coding accuracy and compliance with federal, state, and payer‑specific regulations, including CPT, ICD‑10‑CM, modifiers, and payer‑specific billing rules
- Lead, develop, and mentor managers, supervisors, and coding professionals across distributed and/or offshore teams
- Establish, monitor, and improve productivity, quality, denial rates, and turnaround time metrics; implement corrective action plans as needed
- Partner closely with Denials, Audit, Compliance, CDI, Client Delivery, Technology, and Revenue Cycle leaders to drive alignment and performance improvement
- Analyze denial trends and root causes; collaborate cross‑functionally to implement sustainable process and education solutions
- Oversee PB coding integration efforts for new client implementations, transitions, and performance turnarounds
- Maintain current knowledge of PB coding guidelines, regulatory updates, and payer policy changes; ensure timely education and communication to teams
- Support internal and external audits, including preparation, response, and remediation planning related to PB coding and denials
- Provide executive‑level reporting, insights, and recommendations related to denial risk, coding quality, and operational performance
- Champion a culture of accountability, continuous improvement, and people‑centered leadership
- Bachelor’s degree required; Master’s degree preferred
- 8+ years of progressive experience in healthcare coding or revenue cycle operations, with deep expertise in Professional Billing
- 5+ years of people leadership experience managing managers and/or large PB coding teams
- Strong background in PB coding denials, payer rules, and audit readiness
- Demonstrated experience leading coding integrations, operational transformations, or large‑scale PB initiatives
- Proven ability to partner cross‑functionally and communicate effectively with senior and executive stakeholders
- CPC, CCS‑P, RHIA, RHIT, or equivalent professional coding certification(s)
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 benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble 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. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.
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 [email protected].
This posting addresses state specific requirements to provide pay transparency. 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. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.
Employment Disclaimers – Ensemble
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