Coding Operations Manager

🕒 April 24

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Logo of American Family Care

American Family Care

1001 - 5000 employees

Founded 1982

Healthcare • Urgent Care • Family Care

American Family Care is a nationwide healthcare provider specializing in urgent care, primary care, and family care services. With a strong emphasis on accessibility and convenience, they offer a range of medical services including seasonal allergy treatment, vaccinations, physical exams, and emergency care, all designed to ensure prompt attention and a warm, caring environment for patients. American Family Care aims to deliver high-quality healthcare at lower costs compared to traditional emergency room visits, utilizing walk-in clinics and on-site labs to enhance patient experience.

📋 Description

• 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

🎯 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

🏖️ Benefits

• 401(k) matching • Competitive salary • Health insurance • Opportunity for advancement • Training & development

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