DIR, Coding responsible for accurate coding and compliance for health systems at Ensemble Health Partners in Virginia. Collaborating with clinical teams to maintain proper reimbursement for services.
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 Virginia, 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
Requirements
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
Benefits
Comprehensive benefits package designed to support physical, emotional, and financial health
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