Nestmed · 1 month ago
Director of Coding Operations
United States
Full-time
Remote
Director/Executive
$120K/yr - $140K/yr
7+ years expNestmed is a company focused on improving healthcare documentation through an AI platform that enhances clinician efficiency. As the Director of Coding Operations, you will lead a team of certified coders, ensuring coding accuracy and compliance while partnering with major home health and hospice enterprises to optimize their coding workflows.
Hospital & Health Care
No H1B
Responsibilities
Lead the team: Lead a large team of expert-level certified coders, mentoring them into the auditor-and-complex-case role that AI-native coding demands
Advise enterprises: Partner with enterprise customers as their coding-quality advisor, tuning their coding workflows and translating their compliance goals into measurable gains in accuracy and audit-readiness
Own quality: Own coding accuracy, PDGM and hospice coding integrity, OASIS-coding alignment, and audit-readiness across the agency network
Improve the product: Partner with product and engineering to continuously improve coding accuracy and workflows, bringing the coder's perspective to how the AI drafts, where humans review, and how edge cases route
Evolve quality: Strengthen our quality and review frameworks, closing the feedback loops that turn coder corrections into measurable model gains
Measure: Set and report on coding KPIs (accuracy, turnaround, productivity) for both internal teams and customer-facing reviews
Stay current: Stay ahead of CMS guidance and each ICD-10-CM update cycle, and translate regulatory change into workflow rules and model behavior
Advise internally: Serve as the coding subject-matter expert for customers, clinical leadership, and internal teams
Qualification
Required
7+ years in medical coding with 3+ in a leadership or management role; home health and/or hospice required
Active credential: HCS-D, HCS-H, BCHH-C, CCS, CPC, COC, or CDIP
Deep PDGM and hospice coding expertise and fluent command of the ICD-10-CM Official Guidelines and OASIS coding implications
Track record leading large coding teams and building or running coding quality programs that improve accuracy at scale
Experience working with or advising enterprise clients, with the credibility and communication skills to be trusted by senior leaders at large agencies
Comfort in a fast-moving, tech-first environment, and genuine enthusiasm for reshaping coding around AI rather than defending the status quo
Strong data instincts: you reason about coding performance in metrics and feedback loops, not anecdotes
Preferred
Experience at a health-tech or AI company, or hands-on work with computer-assisted or autonomous coding tools
Multi-state, multi-agency, or enterprise coding operations experience
Familiarity with major home health/hospice EMRs (HCHB, Kinnser/WellSky, Epic)
Company
Nestmed
Nestmed is the leading AI platform for home health and hospice.
11-50 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase