Risk Adjustment Coding Jobs in Ohio

Thank you for considering a career at Ensemble!

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose:

• Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
• Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

At Ensemble Health Partners, how we work matters just as much as what we deliver. Our culture is grounded in our core values:

• People First, Last + Always
• All for One + One for All
• Your Responsibility Extends Beyond Your Job Description
• Developing You Makes Us Better
• Don’t Accept Complacency. The Status Quo Isn’t Good Enough

Position Overview

The Director, Coding Integrations is a senior leadership role responsible for overseeing coding integration strategy, operations, and performance across a large, complex academic health system. This position ensures seamless alignment between coding operations, clinical documentation, and enterprise revenue cycle performance while maintaining the highest standards of accuracy, compliance, and stakeholder partnership.

Given the scale, complexity, and academic nature of the environment, this role requires a strategic, highly visible leader capable of navigating multi-site operations, managing high clinical volumes, and driving consistent coding excellence across the system.

Scope & Complexity of Role

This role supports a high-volume, teaching facility environment, including:

• 263,000+ radiology procedures annually
• 14,000+ surgical cases
• 51,000+ emergency department visits, including ~9,000 admits
• 81,000+ inpatient days

The breadth and volume of services require strong operational leadership, tight performance oversight, and scalable integration strategies to ensure accuracy, efficiency, and compliance.

Key Responsibilities

Coding Integration Leadership

• Lead end-to-end coding integration strategy and execution across inpatient, outpatient, and professional services
• Ensure alignment of coding workflows, processes, and systems across multiple facilities and care settings
• Standardize policies, procedures, and best practices to drive consistency and efficiency across the enterprise

Academic & Quality Oversight

• Ensure coding outputs align with academic medical center standards, regulatory requirements, and organizational expectations
• Partner closely with coding quality, education, and compliance teams to maintain high levels of accuracy and audit readiness
• Support provider engagement and clinical documentation improvement initiatives

Performance & Operational Excellence

• Monitor and optimize coding KPIs including quality, productivity, turnaround time, and financial impact
• Analyze trends in denials, audits, and coding outcomes to identify opportunities for improvement
• Lead large-scale performance improvement initiatives to enhance revenue integrity and operational efficiency

Escalation & Issue Resolution

• Serve as the primary escalation point for complex coding or client issues, ensuring rapid resolution and minimal operational disruption
• Partner with executive leadership and operational teams to address high-impact risks and challenges
• Drive accountability and follow-through on critical issues impacting performance or client satisfaction

Multi-Site Coordination

• Provide oversight across multiple facilities and service lines, ensuring consistent execution and alignment
• Coordinate with Client Delivery, Operations, IT, and Clinical leadership to support system-level integration efforts
• Lead communication and change management initiatives across geographically dispersed teams

Leadership & Team Development

• Lead, mentor, and develop coding integration leaders and teams to support scalability and growth
• Establish clear performance expectations and drive accountability across the organization
• Foster a high-performance culture aligned with Ensemble’s values and client expectations

Qualifications

Required

• 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

Preferred

• AHIMA or AAPC certification (e.g., RHIA, RHIT, CCS, CPC)
• Experience leading enterprise-wide integrations or large-scale operational transformations
• Background in coding quality, CDI, or performance analytics

Work Environment & Travel

• Hybrid/on-site engagement required based on client and operational needs
• Travel may be required to support multi-site operations and stakeholder engagement

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.

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