The Opportunity: We are seeking an experienced
DIR,Coding to join our team in a
hybrid capacity in Delaware. This role is responsible for ensuring accurate coding, regulatory compliance, and proper reimbursement for clinical services. The ideal candidate demonstrates strong technical coding expertise, attention to detail, and a deep understanding of coding guidelines and payer requirements.
Active coding certifications are a requirement for this role.Key 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 Delaware, 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
Required Qualifications- 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
- Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI.
- This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
Preferred Qualifications- Experience supporting government programs or state-regulated healthcare services
- Prior audit or quality assurance experience
- Familiarity with Delaware healthcare regulations and reimbursement guidelines
- Associate's or Bachelor's degree in Health Information Management or related field
Work Environment- Hybrid schedule: combination of remote work and onsite presence in Delaware as required
- Collaborative, compliance-focused healthcare environment
- Ongoing training and professional development encouraged
Join an award-winning company
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.
