Innovation in Revenue Cycle Management
Director, Client Coding Integrations
Location
United States
Posted
8 days ago
Salary
0
Seniority
Lead
Job Description
Director, Client Coding Integrations
Ensemble Health Partners
• Overseeing coding integration strategy, operations, and performance across a large, complex academic health system • Ensuring seamless alignment between coding operations, clinical documentation, and enterprise revenue cycle performance • Developing end-to-end coding integration strategy and execution across inpatient, outpatient, and professional services • Ensuring alignment of coding workflows, processes, and systems across multiple facilities and care settings • Standardizing policies, procedures, and best practices to drive consistency and efficiency across the enterprise • Monitoring and optimizing coding KPIs including quality, productivity, turnaround time, and financial impact • Analyzing trends in denials, audits, and coding outcomes to identify opportunities for improvement • Serving as the primary escalation point for complex coding or client issues
Job Requirements
- Bachelor’s degree or equivalent experience
- 10+ years of progressive experience in healthcare coding, revenue cycle, or HIM
- 5+ years of leadership experience in complex, multi-site environments
- Deep expertise in inpatient, outpatient, and/or professional coding (ICD-10, CPT, HCPCS)
- Experience supporting academic medical centers or large teaching hospitals
- Proven track record managing high-volume operations and large, distributed teams
- Strong analytical, operational, and stakeholder management skills
Benefits
- Comprehensive benefits package designed to support physical, emotional, and financial health
- Healthcare
- Time off
- Retirement
- Well-being programs
- Professional development opportunities
- Quarterly and annual incentive programs
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Director of Access Solutions
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use data to inform payer strategy and coverage improvement initiatives. - Copay Program Management and Optimization - Design, launch, and manage patient copay assistance programs across Harrow's portfolio, ensuring programs are structured to maximize patient affordability and market access impact. - Partner with Finance and Legal/Compliance to establish copay program parameters, eligibility criteria, and benefit caps that are both commercially effective and compliant with all applicable regulations (including OIG guidance and CMS requirements), with clear business rules that safeguard program integrity against fraud, waste, and abuse. - Select and manage copay program vendors and third-party administrators; negotiate contracts, establish performance standards, and conduct regular business reviews. - Monitor copay program utilization, cost-effectiveness, and patient outcomes; adjust program design to capture optimization opportunities. - Stay current on the copay accumulator and maximizer landscape; 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Qualifications - Bachelor's degree required; advanced degree (MBA, PharmD) preferred. - 10+ years of progressive market access, patient services, or specialty pharmacy experience within pharmaceutical, biotech, or ophthalmology companies. - Demonstrated experience designing and managing end-to-end access programs from vendor selection and contracting through performance management and optimization. - Strong understanding of the complex reimbursement landscape for ophthalmology, including buy-and-bill, specialty pharmacy-dispensed products, J-Code reimbursement, and Commercial/Medicare/Medicaid dynamics (strongly preferred). - Exceptional cross-functional collaboration skills; able to influence and align Commercial, Medical Affairs, Legal/Compliance, and Finance stakeholders. - Analytical mindset with experience developing and monitoring KPIs, interpreting program data, and driving data-informed decisions. - Outstanding written and verbal communication skills; demonstrated ability to translate complex market access concepts into clear, actionable messaging for diverse audiences. 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