Strive Health · 22 hours ago
Director, Risk Coding Operations
Denver, CO
Full-time
Hybrid
Director/Executive
$130K/yr - $163K/yr
8+ years expStrive Health is dedicated to transforming the kidney care system through comprehensive coordinated care. The Director, Risk Coding Operations will oversee coding teams and vendors, establish operational processes, and ensure compliance with risk adjustment requirements while leading performance metrics and team development.
Health CareInformation TechnologyMedicalmHealth
No H1B
Responsibilities
Lead risk coding operations across prospective and retrospective workflows, including chart review, coding, audits, and remediation
Own operational performance metrics including coding accuracy, turnaround times (TATs), productivity, audit outcomes, and rework rates
Oversee external retrospective coding, audit, and billing vendors, ensuring contracted deliverables, quality standards, and timelines are met
Establish and maintain operational workflows supporting ASM processing, reconciliations, and end-to-end data leakage review
Partner with compliance and legal teams to ensure adherence to CMS risk adjustment requirements and internal audit standards
Develop and maintain operational controls to support compliant, defensible coding and submission readiness
Lead investigation and resolution of coding discrepancies, reconciliation issues, and operational root causes
Collaborate with analytics teams to monitor coding trends, accuracy, and risk capture performance over time
Partner with clinical leadership and provider-facing teams to support operational resolution of documentation or coding questions
Design and implement scalable processes that support future expansion into broader revenue cycle management (RCM) functions
Build and mentor high-performing operational teams, fostering accountability, consistency, and continuous improvement
Qualification
Required
Bachelor's degree
8+ years of experience in healthcare operations, managed care, or revenue cycle functions
7+ years of experience in risk adjustment coding operations, medical record review, audits, or related functions
Certified Risk Adjustment Coder (CRC) – required
Strong working knowledge of ICD-10, HCC coding models, and CMS risk adjustment requirements
Experience managing external coding or billing vendors
Ability to travel and be onsite as business needs require
Reliable internet connectivity meeting minimum technical requirements
Efficient and reliable transportation allowing for the ability to commute to hospitals
Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms
Preferred
Master's degree in healthcare administration, business, finance, or related field
4+ years of people management experience leading operational teams
CPC, CPMA, or other advanced coding or audit certifications
Experience supporting Medicare Advantage, CMMI, and other value-based care models
Prior experience in an MSO or risk-bearing organization
Strong operational discipline with ability to build scalable, repeatable processes
Benefits
Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
Financial & Retirement Support – Competitive compensation with a performance-based discretionary bonus program, 401k with employer match, and financial wellness resources.
Time Off & Leave – Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.
Company
Strive Health
Strive Health is a value-based kidney care provider with an integrated system supporting the journey of individuals with kidney disease.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$936MKey Investors
New Enterprise AssociatesHercules CapitalCapitalG
2025-09-09Series D· $300M
2025-09-09Debt Financing· $250M
2023-05-31Series C· $166M
Leadership Team
Chris Riopelle
Co-Founder & Chief Executive Officer
Keith Bellovich
Chief Nephrologist
Recent News
2025-11-02
CB Insights
2025-10-29
Company data provided by crunchbase