Coding Operations Manager

American Family Care

$90K — $115K *
US-AnywhereRemote in United States
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in a related field
  • Minimum 5 years of healthcare leadership experience in coding and/or CDI
  • Experience in urgent care, ambulatory, or high-volume outpatient settings preferred
  • RHIA, RHIT, or CPC certification preferred
  • Strong knowledge of CPT, ICD-10-CM, and payer-specific guidelines
  • Experience managing BPO/vendor relationships strongly preferred

Responsibilities

  • Manage coding workflows for accuracy, compliance, and urgent care guidelines
  • Lead clinical documentation improvement initiatives
  • Partner with providers and leadership to enhance documentation outcomes
  • Ensure coding SLAs for timely charge capture and claim submission
  • Develop and deliver education on coding and documentation
  • Collaborate with offshore vendors to monitor performance and quality
  • Establish and track key performance indicators (KPIs)
  • Lead audit programs to maintain regulatory compliance
  • Drive continuous improvement initiatives across the revenue cycle

Benefits

  • 401(k) matching
  • Health insurance
  • Opportunity for advancement
  • Training & development
Full Job Description
Benefits:
  • 401(k) matching
  • Competitive salary
  • Health insurance
  • Opportunity for advancement
  • Training & development


Position Summary

The Coding Operations Manager providesoversight of end-to-end coding workflows across American Family Care's high-volume urgent care network.

Key Responsibilities
• Manage coding workflows to ensure accuracy, compliance, and alignment with urgent care-specific guidelines
• Lead clinical documentation improvement (CDI) initiatives to enhance completeness, specificity, and payer compliance
• Partner with providers, center leadership, and vendors to improve documentation and coding outcomes
• Ensure adherence to coding SLAs for timely charge capture, claim submission, and reduced billing lag
• Develop and deliver coding and documentation education for providers, clinical staff, and BPO partners
• Collaborate with offshore coding vendors to monitor performance, improve quality, and optimize cost efficiency
• Establish and track KPIs, including coding accuracy, productivity, denial rates, and turnaround times
• Lead audit programs and implement corrective actions to maintain regulatory and compliance standards
• Drive continuous improvement initiatives across the revenue cycle in a high-volume urgent care setting

Education & Qualification Requirements
• Bachelor's degree in a related field
• Minimum 5 years of healthcare leadership experience in coding and/or CDI
• Experience in urgent care, ambulatory, or high-volume outpatient settings preferred
• RHIA, RHIT, or CPC certification preferred
• Strong knowledge of CPT, ICD-10-CM, and payer-specific guidelines
• Experience managing BPO/vendor relationships strongly preferred

This is a remote position.

Compensation: $90,000.00 - $115,000.00 per year

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