Coding Operations Manager

Job summary

Fully Remote - US

Work model

Fully remote
Only United States
5 days ago
Job description

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.