or apply directly on Herself Health's site. We never take the application ourselves.
Is this posting real?
- This role has been open
- 28 days Herself Health's roles stay open a median of 8 days
- Reposted
- No
- Salary listed
- No 0% of Herself Health's roles list one
- Ghost-job risk at Herself Health
- moderate 4 stale, 1 reposted of 15 open
- Hiring momentum
- 32 roles opened in the last 90 days ↑ up vs. the prior 90 days
- Last confirmed on the employer's board
- 2026-09-17
Measured from postings appearing on and disappearing from Herself Health's own greenhouse board since 2026-08-03. Full hiring picture for Herself Health.
About this role
The Director of Quality, Clinical Coding and Documentation at Herself Health is responsible for overseeing the quality of care and accuracy of clinical documentation and coding for women on Medicare. This role involves designing and leading programs to improve HEDIS and Star Ratings performance, managing risk adjustment strategies, and ensuring compliance with coding standards. The director will also educate clinicians, optimize workflows, and lead a team dedicated to enhancing healthcare quality for women aged 65 and older.
- benefits
- 1/5
- freshness
- 4/5
- career value
- 5/5
- role clarity
- 5/5
- pay transparency
- 0/5
Scored from the posting itself — how clearly the role is described, how much it says about pay and benefits, and how recently it was listed. Not a judgement of Herself Health as an employer.
What you need
- Bachelor’s degree in health information management, nursing, healthcare administration, or a related field; equivalent experience will be considered.
- Active coding certification — CPC, CRC, CCS, CCS-P, RHIA, or RHIT. CRC (Certified Risk Adjustment Coder) strongly preferred.
- Seven or more years of progressive experience in medical coding, risk adjustment, or clinical documentation integrity, including three or more years in a leadership or program ownership role.
- Deep working knowledge of the CMS-HCC risk adjustment model, including the V24-to-V28 transition and its practical implications for documentation and capture.
- Demonstrated experience building or substantially rebuilding a risk adjustment or CDI program, not solely operating an inherited one.
- Direct experience with RADV or payer audit response, including medical record defensibility review.
Nice to have
- Experience in value-based, capitated, or full-risk primary care — particularly senior-focused or Medicare Advantage populations.
- Clinical background (RN or LPN) in addition to coding credentials.
- CDI certification — CDIP, CCDS, or CCDS-O.
- Experience in a high-growth or multi-site organization where infrastructure had to be built alongside operations.
- Experience with CAHPS, HOS, or patient experience improvement work.
Worth weighing
- Remote work with occasional travel required.
- The role demands a high level of accountability and leadership in a complex healthcare environment.
- No specific salary or benefits package mentioned in the posting.
Summarised from Herself Health's posting. Read the full original.
Listed by Herself Health on their greenhouse job board, last confirmed open on 2026-09-17. PitchMeAI is not the employer.
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