Coding Operations Manager
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.