Director of Coding Operations

Nestmed

Director of Coding Operations leading expert coders in the home healthcare industry. Ensuring compliance and coding quality through advanced AI technology and expert oversight.

Posted 6/2/2026full-timeRemote • 🇺🇸 United StatesLead💰 $120,000 - $140,000 per yearWebsite

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

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.

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Nestmed Website LinkedIn All Job Openings 11 - 50 employees ☁️ SaaS 🤖 Artificial Intelligence 🤝 B2B SaaS
Artificial Intelligence
B2B Nestmed is an AI-driven SaaS platform that automates clinical documentation, coding, and quality assurance for home health and hospice agencies. The platform uses ambient voice capture, ICD-10 coding suggestions, and OASIS validation to reduce charting time, improve coding accuracy, accelerate reimbursement, and surface QA issues during visits. Nestmed is HIPAA-compliant and SOC 2 Type II certified, serving thousands of clinicians and helping agencies increase visits per clinician and meet regulatory submission targets. Director of Coding Operations 🔥 0 minutes ago 🇺🇸 United States – Remote 💵 $120k - $140k / year ⏰ Full Time 🔴 Lead ⚙️ Operations Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
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 🎯 Requirements
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
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Hard Skills & Tools

medical codingcoding accuracyPDGMhospice codingICD-10-CMOASIS codingcoding KPIscoding quality programsdata analysisworkflow optimization

Soft Skills

leadershipmentoringcommunicationadvisingcollaborationproblem-solvingadaptabilitycredibilityenthusiasmdata-driven reasoning

Certifications

HCS-DHCS-HBCHH-CCCSCPCCOCCDIP