[Remote] Director of Coding Operations
Note: The job is a remote job and is open to candidates in USA. Nestmed 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.
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
Skills
- 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
- 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 Overview