Coding Manager

Open Door Community Health Centers•Remote- California, CA

8d•$94,600 - $111,294•Remote

About The Position

Open Door Community Health Centers (ODCHC) relies on billing for services rendered and generated revenue for a significant portion of its operating budget. ODCHC is committed to proper billing procedures, documentation, and review in compliance with federal and state laws and regulations and private payor requirements. The Coding Manager is responsible for implementing clinical documentation improvement and coding compliance activities and supervises codes to ensure timely and appropriate billing of all provider encounters.

Requirements

Strong interpersonal and communication skills with the ability to collaborate across departments
Knowledge of coding regulations, documentation requirements, and payer guidelines
Ability to analyze complex information and translate it into actionable insights
Proficiency in EHR, practice management systems, and reporting tools
Coding Certification (COC, CPC, or CCS preferred)
At least seven years of experience in coding, clinical documentation improvement, billing, or auditing
Experience in a community health center or similar healthcare environment
Supervises Charge Review Billers and Coders, including hiring, training, coaching, and performance evaluation
Accountable for driving coding performance aligned with organizational financial and operational goals, including improvements in coding accuracy, denial reduction, and reimbursement outcomes

Nice To Haves

Experience implementing coding or revenue cycle improvement initiatives with measurable outcomes
Understanding of Medicare, Medi-Cal, and Commercial reimbursement methodologies
Experience with risk adjustment and/or value-based payment models
Ability to use data to inform decision-making and drive performance improvement

Responsibilities

Leads strategic coding initiatives to improve net patient revenue, reduce denials, and enhance reimbursement across payer lines
Analyzes coding, documentation, and billing trends to identify revenue leakage and payer-specific risks
Develops and monitors coding performance metrics (e.g., accuracy, denial trends, documentation specificity) and reports outcomes to leadership
Partners with Finance, Revenue Cycle, and Clinical Leadership to align coding practices with organizational priorities
Drives improvements in documentation specificity to support reimbursement accuracy, risk adjustment, and quality reporting
Supports value-based care, risk adjustment, and quality initiatives impacting reimbursement and patient outcomes
Collaborates on payer audits, denials, and appeals to mitigate financial and compliance risk
Leads continuous improvement efforts through data analysis, workflow redesign, and system optimization
Supervises pre-Accounts Receivable processes, including charge capture, coding accuracy, and timely encounter processing
Provides guidance to clinical and billing staff regarding coding compliance and documentation standards
Monitors coder work queues and reports to identify improvement opportunities
Reviews work queues, charge sheets, and coding outputs for accuracy and appropriate pricing
Conducts audits of coding and billing staff to ensure accuracy and compliance
Identifies system issues and coordinates solutions with internal teams and vendors
Recruits, trains, and supervises coding staff
Develops and maintains training materials and ensures ongoing staff education
Coordinates implementation and training for coding updates and regulatory changes
Ensures adherence to ODCHC policies and protocols
Performs other duties as assigned by the Chief Financial Officer