About this role

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

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

Coding Operations Manager

Key skills