About the role

  • 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
  • Healthcare
  • Time off
  • Retirement programs
  • Ongoing training and professional development

Job title

Director I, Client Coding Integration

Job type

Experience level

Lead

Salary

Not specified

Degree requirement

Associate's Degree

Location requirements

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