Coding Operations Manager
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AI Summary
The Coding Operations Manager oversees end-to-end coding workflows and leads clinical documentation improvement initiatives across the urgent care network. They are responsible for managing vendor relationships, ensuring regulatory compliance, and tracking performance metrics to optimize revenue cycle outcomes.
Benefits:
- 401(k) matching
- Competitive salary
- Health insurance
- Opportunity for advancement
- Training & development
American Family Care (AFC)
Founded in 1982 with a single location, American Family Care (AFC) pioneered the concept of non-emergency room care, providing treatment for injuries and illnesses in a convenient, lower-cost setting. Headquartered in Birmingham, Alabama, AFC has grown into the nation’s leading provider of accessible healthcare, with more than 400 company-owned and franchised centers across the United States, caring for over 3.5 million patients annually.
Position Summary
The Coding Operations Manager provides oversight 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.
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