Director of Coding Operations

🕒 Junho 2

Candidatar-se

Encontrar Vagas Remotas Similares

Receber Emails de Vagas Remotas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

Nestmed

SiteLinkedInTodas as Vagas

11 - 50 funcionários

☁️ SaaS

🤖 Inteligência Artificial

🤝 B2B

SaaS • Artificial Intelligence • B2B

A Nestmed é uma plataforma SaaS baseada em IA que automatiza a documentação clínica, codificação e garantia de qualidade para agências de saúde domiciliar e cuidados paliativos. A plataforma utiliza captação de voz ambiente, sugestões de codificação ICD-10 e validação OASIS para reduzir o tempo de registro, melhorar a precisão da codificação, acelerar o reembolso e identificar questões de QA durante as visitas. A Nestmed é compatível com HIPAA e certificada SOC 2 Tipo II, atendendo milhares de profissionais de saúde e auxiliando agências a aumentar o número de visitas por profissional e a cumprir metas regulatórias de submissão.

Descrição

• 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

🎯 Requisitos

• 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.