The ideal candidate will bring deep expertise in professional fee (physician) coding, revenue cycle operations, coding compliance, provider education, and client relationship management. This leader will be responsible for guiding coding integration activities, supporting operational transformation, identifying process improvement opportunities, and ensuring coding best practices are consistently implemented across client engagements.
Key Responsibilities
Client Coding Integrations
Lead coding integration activities for physician billing clients during onboarding, acquisitions, conversions, and operational transitions.
Serve as the primary coding subject matter expert throughout implementation and transition efforts.
Assess existing coding workflows, policies, processes, and operational structures to identify opportunities for improvement and standardization.
Partner with operational leaders to develop post-integration action plans that support quality, productivity, compliance, and financial performance.
Support organizational readiness activities including training, communication, workflow design, and stakeholder engagement.
Coding Operations & Compliance
Provide expertise related to ICD-10-CM, CPT, HCPCS, modifier application, documentation requirements, and regulatory compliance standards.
Collaborate with Compliance, Revenue Integrity, Provider Education, and Client Leadership to support coding accuracy and operational excellence.
Monitor coding quality, productivity, audit findings, and operational performance metrics.
Assist with the development and implementation of corrective action plans related to coding quality, documentation, and compliance concerns.
Support internal and external audits while ensuring adherence to federal, state, payer, and regulatory requirements.
Revenue Cycle Optimization
Analyze coding-related trends, denials, edits, and revenue cycle performance indicators to identify root causes and recommend solutions.
Partner with Revenue Cycle teams to improve reimbursement accuracy, reduce denials, and enhance operational efficiency.
Assist clients with coding workflow redesign, process improvements, and operational transformation initiatives.
Support implementation of automation, reporting, and technology solutions that improve coding performance.
Relationship Management
Build trusted partnerships with physicians, operational leaders, coding teams, compliance departments, and client stakeholders.
Act as a strategic advisor regarding physician coding operations and regulatory requirements.
Present operational updates, implementation progress, risks, and recommendations to leadership teams.
Facilitate effective communication between internal and external stakeholders throughout implementation activities.
Required Qualifications
Bachelor's degree or equivalent combination of education and experience.
Minimum of 7 years of progressive healthcare coding, physician billing, revenue cycle, or health information management experience.
Minimum of 3 years of leadership, consulting, project management, or implementation experience.
Extensive knowledge of: ICD-10-CM CPT HCPCS Evaluation & Management (E/M) coding Professional fee billing and reimbursement methodologies
Experience supporting physician practice operations, professional coding programs, or multispecialty physician groups.
Strong understanding of healthcare compliance, regulatory requirements, and payer guidelines.
Demonstrated ability to lead complex projects and influence stakeholders across multiple departments.
Ability to work 50% onsite in Pittsburgh, Pennsylvania.
Required Certifications
Candidates must possess one or more active coding credentials
CPC (Certified Professional Coder)
CCS (Certified Coding Specialist)
CCS-P (Certified Coding Specialist – Physician-Based)
RHIT (Registered Health Information Technician)
RHIA (Registered Health Information Administrator)
Preferred Qualifications
Experience supporting large-scale physician practice integrations, acquisitions, or implementation projects.
Experience with Epic, Cerner, Meditech, Athena, eClinicalWorks, or other major healthcare platforms.
Background in revenue integrity, coding compliance, auditing, provider education, or CDI.
Experience managing client-facing healthcare operations.
Knowledge of AI-enabled tools, coding automation technologies, Power BI, Copilot, or workflow optimization solutions.
Experience supporting multi-state or national healthcare operations.
This position pays between $97,000 - $145,500.
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.
Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.
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.
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
