Director of Quality, Coding & Documentation Excellence

Jobgether; United States; Hybrid; USD 180,000 - 240,000; Full time

Benefits offered by this job

Hybrid work in Twin Cities metro

Executive leadership exposure

Professional development support

Job summary

Jobgether seeks a Director, Quality, Clinical Coding and Documentation in the United States to lead and integrate quality, coding, risk adjustment, and documentation integrity across a growing healthcare organization.

The role owns the full quality lifecycle, with accountability for HEDIS, STAR ratings, and NCQA submissions, while building scalable programs and educating clinicians in a high-growth environment.

Qualifications

• Strong leadership and team-building capabilities.
• Experience leading quality, coding, and CDI programs.
• Deep knowledge of CMS-HCC risk adjustment and coding guidelines.
• Proven track record in audit readiness and payer negotiations.
• Ability to translate data into actionable improvements.
• Excellent communication with clinicians and leaders.

Responsibilities

• Own HEDIS and Medicare Advantage strategy, targets, and accountability across clinics and payers.
• Lead end-to-end quality gap closure, from identification to closed-loop completion.
• Embed quality improvements into daily clinical operations and workflows.
• Oversee NCQA submissions, data quality, and auditable source data.
• Manage annual quality calendar, roadmaps, and year-end close.
• Coordinate risk adjustment program including coding and HCC capture.
• Lead clinical documentation integrity programs and provider queries.
• Develop dashboards and analytics to track performance and trends.

Skills

Leadership

Quality improvement

Coding and CDI

CMS-HCC knowledge

Auditing

Stakeholder management

Education

Active coding certification (CPC/CRC/CCS/CCS-P/RHIA/RHIT)

Job description

Jobgether seeks a Director, Quality, Clinical Coding and Documentation in the United States to lead and integrate quality, coding, risk adjustment, and documentation integrity across a growing healthcare organization.

The role owns the full quality lifecycle, with accountability for HEDIS, STAR ratings, and NCQA submissions, while building scalable programs and educating clinicians in a high-growth environment.