Coding Operations Manager

This is a fully remote position, open to applicants in Alabama.

📋 Description

• Oversee coding workflows to guarantee accuracy, compliance, and alignment with urgent care-specific standards.

• Spearhead clinical documentation improvement (CDI) initiatives to boost completeness, specificity, and compliance with payers.

• Collaborate with providers, center leadership, and vendors to enhance documentation and coding outcomes.

• Ensure compliance with coding service level agreements (SLAs) for prompt charge capture, claim submission, and minimized billing delays.

• Create and deliver educational programs on coding and documentation for providers, clinical staff, and BPO partners.

• Work alongside offshore coding vendors to evaluate performance, enhance quality, and maximize cost efficiency.

• Establish and monitor key performance indicators (KPIs), including coding accuracy, productivity, denial rates, and turnaround times.

• Lead audit initiatives and execute corrective actions to uphold regulatory and compliance standards.

• Promote continuous improvement initiatives throughout the revenue cycle in a high-volume urgent care environment.

⛳️ Requirements

• Bachelor’s degree in a relevant field.

• At least 5 years of leadership experience in healthcare, specifically in coding and/or CDI.

• Experience in urgent care, ambulatory, or high-volume outpatient environments is preferred.

• Preferred certifications include RHIA, RHIT, or CPC.

• In-depth knowledge of CPT, ICD-10-CM, and payer-specific regulations.

• Strong preference for candidates with experience in managing BPO/vendor relationships.

🏝️ Benefits

• 401(k) matching.

• Competitive salary.

• Health insurance.

• Opportunities for career advancement.

• Training and development programs.