Coding Operations Manager

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