Director, Quality, Clinical Coding and Documentation

Triwill Group; United States; On-site; USD 180,000 - 240,000; Full time

Job summary

Triwill Group seeks a Director of Quality, Clinical Coding and Documentation in the United States to lead cross-functional programs ensuring accurate medical record representation and strong quality performance.

You will own the full quality lifecycle from HEDIS/Star Ratings strategy through risk adjustment, coding integrity, audit readiness, and vendor management, shaping scalable workflows in a high-growth healthcare setting.

Qualifications

• Senior leadership experience in health quality programs.
• Strategic oversight of clinical coding and documentation integrity.
• Experience with risk adjustment and Medicare/Medicaid programs.

Responsibilities

• Owns the quality lifecycle, including HEDIS/Star Ratings strategy and gap closure.
• Leads risk adjustment and clinical documentation programs to ensure accurate records.
• Develops scalable programs, analytics, education, and operational standards across the organization.
• Collaborates with clinical, operational, finance, analytics, compliance, and executive stakeholders.

Job description

Description:

Our partner is looking for a Director, Quality, Clinical Coding and Documentation based in the United States.

This is a senior leadership opportunity responsible for integrating quality performance, clinical coding, risk adjustment, and documentation integrity across a growing healthcare organization.
The role owns the full quality lifecycle, from HEDIS and Medicare Advantage Star Ratings strategy through gap closure, reporting, supplemental data, and payer engagement.
It also leads risk adjustment and clinical documentation programs, ensuring patient conditions are accurately, compliantly, and defensibly represented in the medical record.
You will build scalable programs, workflows, analytics, education, and operational standards while keeping the experience practical for clinicians.
The position combines strategic ownership with hands‑on execution, including audit readiness, compliance, technology optimization, vendor management, and team development.
You will work closely with clinical, operational, finance, analytics, compliance, and executive stakeholders in a mission-driven, high-growth environment.
This is an opportunity to shape systems that improve care quality, strengthen clinical accuracy, and ensure older women are represented fully and accurately in their healthcare records.