Coding Operations Manager

American Family Care

Coding Operations Manager

Denver, CO
Full Time
Paid
  • Responsibilities

    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.

  • Industry
    Hospital and Health Care