Nestmed - Director of Coding Operations
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 • 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) • If you’re passionate about building high-impact products that solve real-world problems, we’d love to hear from you. Apply today!
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 • Lead the team: • 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 • Advise enterprises: • Own quality: Own coding accuracy, PDGM and hospice coding integrity, OASIS-coding alignment, and audit-readiness across the agency network • Own quality: • 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 • Improve the product: • Evolve quality: Strengthen our quality and review frameworks, closing the feedback loops that turn coder corrections into measurable model gains • Evolve quality: • Measure: Set and report on coding KPIs (accuracy, turnaround, productivity) for both internal teams and customer-facing reviews • Measure: • Stay current: Stay ahead of CMS guidance and each ICD-10-CM update cycle, and translate regulatory change into workflow rules and model behavior • Stay current: • Advise internally: Serve as the coding subject-matter expert for customers, clinical leadership, and internal teams • Advise internally:
Benefits
• Healthcare documentation is broken. Nestmed is fixing it with an AI platform that gives clinicians their time back. • In just one year, we’ve scaled to support tens of thousands of clinicians across more than a million patient visits. We're now the trusted partner for over 60 home health agencies, including 7 of the top 10 enterprises in the US. • Our founding team—hailing from Stanford, YC, Google, and Meta—is backed by the founders of PayPal and Plaid to build the essential infrastructure for the future of the $500B home healthcare industry. • Location: Remote (U.S.) • Location: • Department: Clinical Operations • Department:
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