Nestmed
Healthcare
DirectorofCodingOperations
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“Director of Coding Operations at Nestmed. Skills: Coding operations, Quality assurance, Enterprise client advising. Lead team of certified coders. Mentor coders into auditor role”
What You'll Achieve.
Raise compliance of coding; Raise quality of coding; Achieve unparalleled coding quality; Achieve unparalleled compliance; Improve accuracy at scale; Measurable gains in accuracy; Measurable gains in audit-readiness; Measurable model gains
Industry & Context.
What They're Looking For.
Must Have
7+ years in medical coding, 3+ years leadership/management, Active credential: HCS-D, HCS-H, BCHH-C, CCS, CPC, COC, or CDIP, Deep PDGM and hospice coding expertise, Fluent command of ICD-10-CM Official Guidelines, Fluent command of OASIS coding implications, Track record leading large coding teams, Experience building/running coding quality programs, Experience working with/advising enterprise clients, Credibility and communication skills for senior leaders
Nice to Have
Experience at health-tech/AI company, Hands-on work with computer-assisted coding tools, Hands-on work with autonomous coding tools, Multi-state coding operations experience, Multi-agency coding operations experience, Enterprise coding operations experience, Familiarity with HCHB EMR, Familiarity with Kinnser/WellSky EMR, Familiarity with Epic EMR
What You'll Do.
Lead team of certified coders
Mentor coders into auditor role
Mentor coders into complex-case role
Partner with enterprise customers
Advise on coding quality
Tune coding workflows
Translate compliance goals
Own PDGM coding integrity
Own hospice coding integrity
Own OASIS-coding alignment
Improve coding accuracy
Improve coding workflows
Strengthen quality frameworks
Strengthen review frameworks
Report on coding KPIs
Stay ahead of CMS guidance
Stay ahead of ICD-10-CM updates
Translate regulatory change
How You'll Work.
Team & Collaboration
Partner with product; Partner with engineering; Advise customers; Advise clinical leadership; Advise internal teams
Communication Scope
Credibility; Communication skills
Full Job Description
Healthcare documentation is broken. Nestmed is fixing it with an AI platform that gives clinicians their time back. In just one year, we’ve scaled to support tens of thousands of clinicians across more than a million patient visits. We're now the trusted partner for over 60 home health agencies, including 7 of the top 10 enterprises in the US. Our founding team—hailing from Stanford, YC, Google, and Meta—is backed by the founders of PayPal and Plaid to build the essential infrastructure for the future of the $500B home healthcare industry. Location: Remote (U.S.) Department: Clinical Operations THE ROLE This is not a traditional coding-manager role measured by charts cleared per day. As Director of Coding Operations, you will partner directly with some of the largest home health and hospice enterprises in the country, helping them raise the compliance and quality of their coding by putting the most advanced technology in the industry to work. You will own coding accuracy, compliance, and throughput across our network, and lead a large team of expert-level certified coders who operate as the human layer above our AI: auditing, validating, and resolving the complex cases that demand real clinical judgment. You will work step by step with some of the largest enterprises in the industry, serving as a trusted partner and an extension of their team, accountable for the quality and compliance of their coding day in and day out. You are the clinical-coding authority inside Nestmed, the trusted advisor to our enterprise customers, and the voice of the coder inside the product. The bar is non-negotiable: we expect a level of coding quality and compliance that is unparalleled in the industry. Our technology makes a far more comprehensive review possible than has ever existed in home health and hospice, surfacing what manual, sample-based review has always missed. Your job is to hold that standard and prove it, on every chart, for every customer. WHAT YOU'LL DO • Lead the team:
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