Director, Risk Coding Operations

What We Strive For 

At Strive Health, we’re driven by a purpose: transforming the broken kidney care system. Through early identification, engagement, and comprehensive coordinated care, we significantly improve outcomes for people with kidney disease, reducing emergency dialysis and inpatient utilization. Our high-touch care model integrates with local providers and uses predictive data to identify and support at-risk patients along their entire care journey. We embrace diversity, celebrate successes, and support each other, making Strive the destination for top talent in healthcare. Join us in making a real difference. 

Benefits & Perks 

• Hybrid-Remote Flexibility – Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
• Comprehensive Benefits – Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts. 
• Financial & Retirement Support – Competitive compensation with a performance-based discretionary bonus program, 401k with employer match, and financial wellness resources.
• Time Off & Leave – Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
• Wellness & Growth – Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend. 
  

What You’ll Do 

The Director, Risk Coding Operations will oversee internal coding teams and external coding or billing vendors, establish scalable operational processes, and ensure strong internal controls across end-to-end risk coding workflows. This role partners closely with clinical, analytics, compliance, and enablement teams to operationalize strategy through disciplined execution. 

The Day to Day 

• Lead risk coding operations across prospective and retrospective workflows, including chart review, coding, audits, and remediation. 
• Own operational performance metrics including coding accuracy, turnaround times (TATs), productivity, audit outcomes, and rework rates. 
• Oversee external retrospective coding, audit, and billing vendors, ensuring contracted deliverables, quality standards, and timelines are met. 
• Establish and maintain operational workflows supporting ASM processing, reconciliations, and end-to-end data leakage review. 
• Partner with compliance and legal teams to ensure adherence to CMS risk adjustment requirements and internal audit standards. 
• Develop and maintain operational controls to support compliant, defensible coding and submission readiness. 
• Lead investigation and resolution of coding discrepancies, reconciliation issues, and operational root causes. 
• Collaborate with analytics teams to monitor coding trends, accuracy, and risk capture performance over time.
• Partner with clinical leadership and provider-facing teams to support operational resolution of documentation or coding questions.
• Design and implement scalable processes that support future expansion into broader revenue cycle management (RCM) functions. 
• Build and mentor high-performing operational teams, fostering accountability, consistency, and continuous improvement.