Director of Coding Operations

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Nestmed

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11 - 50 Mitarbeiter

☁️ SaaS

🤖 Künstliche Intelligenz

🤝 B2B

SaaS • Artificial Intelligence • B2B

Nestmed ist eine KI-gesteuerte SaaS-Plattform, die die klinische Dokumentation, Kodierung und Qualitätssicherung für Pflegedienste und Hospizorganisationen automatisiert. Die Plattform nutzt Umgebungs-Spracherkennung, ICD-10-Kodierungsvorschläge und OASIS-Validierung, um die Dokumentationszeit zu reduzieren, die Kodiergenauigkeit zu verbessern, die Erstattung zu beschleunigen und QA-Probleme während der Besuche aufzudecken. Nestmed ist HIPAA-konform und SOC-2-Typ-II-zertifiziert, bedient Tausende von Klinikern und hilft Agenturen, die Besuche pro Kliniker zu erhöhen und regulatorische Einreichungsziele zu erreichen.

Beschreibung

• 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

🎯 Anforderungen

• 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.