Coding Manager

Open Door Community Health Centers; California (MO); Hybrid; USD 94,600 - 111,294; Full time

Job summary

Open Door Community Health Centers is seeking a Coding Manager to lead strategic coding initiatives, optimize revenue cycle processes, and ensure compliant documentation across provider encounters. This role emphasizes collaboration with Finance and Clinical Leadership to maximize reimbursement and reduce denials.

The organization supports community health goals in Humboldt County and surrounding areas, offering comprehensive benefits and opportunities for ongoing staff development.

Qualifications

• 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.
• 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

• Lead strategic coding initiatives to improve net patient revenue, reduce denials, and enhance reimbursement across payer lines.
• Analyze coding, documentation, and billing trends to identify revenue leakage and payer-specific risks.
• Develop and monitor coding performance metrics and reports to leadership.
• Partner with Finance, Revenue Cycle, and Clinical Leadership to align coding practices with organizational priorities.
• Drive improvements in documentation specificity to support reimbursement accuracy, risk adjustment, and quality reporting.
• Support value-based care, risk adjustment, and quality initiatives impacting reimbursement and patient outcomes.
• Collaborate on payer audits, denials, and appeals to mitigate financial and compliance risk.
• Lead continuous improvement through data analysis, workflow redesign, and system optimization.
• Recruit, train, and supervise coding staff; develop training on updates and regulatory changes.
• Ensure adherence to policies and collaborate with the Chief Financial Officer.

Skills

Interpersonal skills

Coding regulations

Data analysis

EHR proficiency

Reporting tools

Education

Coding Certification preferred (COC/CPC/CCS)

Tools

EHR systems

Practice management systems

Auditing tools

Job description

Committed to Our Community in the Heart of the Redwoods. Removing Barriers to Healthcare Access Remote- California 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.

Compensation Range: $94,600.00-$111,294.12. Hmong and Spanish speakers who successfully pass a language exam will receive a minimum of .75 cents added to their wage.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Strategic & Revenue Cycle Leadership: 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; Operational & Compliance Oversight: 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; Staff Development & Training: 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.

QUALIFICATIONS:

The successful candidate will possess experience and skills spanning a variety areas: 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; Preferred Strategic Competencies: 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.

SUPERVISORY RESPONSIBILITIES:

The Coding Manager supervises Charge Review Billers and Coders, including hiring, training, coaching, and performance evaluation. This role is accountable for driving coding performance aligned with organizational financial and operational goals, including improvements in coding accuracy, denial reduction, and reimbursement outcomes.

SUPERVISION AND SUPPORT:

Reports to the Revenue Cycle Manager and collaborates closely with Finance and Clinical leadership.

PHYSICAL REQUIREMENTS:

This is largely an office-based position. The physical requirements described are representative of those needed to successfully perform the essential duties of the position. Reasonable accommodation will be made to allow otherwise qualified candidates to perform these functions. Speaking and hearing sufficient to communicate effectively by telephone, video or in-person at normal volumes; Vision adequate to read documents, computer screens, forms and designs and to differentiate colors as necessary; Ability to travel locally and long-distance by car and air; Ability to sit or stand for extended periods of time; and, Ability to use keyboard and view computer screens for extended periods of time.

Open Door Community Health Centers was founded in 1971 and is dedicated to providing healthcare and education to the residents of Humboldt County, Del Norte County, and surrounding rural areas. We offer a comprehensive range of healthcare services, including Primary Medical Care, Pediatric Services, Chronic Illness Management, Dental Care, Pregnancy, Prenatal Services, and more. Recognizing the critical importance of accessibility, we proactively identify areas with unique healthcare needs and extend our high-quality healthcare services and educational programs to individuals who face obstacles such as financial constraints, geographical isolation, or social barriers. Open Door Community Health Centers has earned recognition as one of the best places to work in Humboldt County. Our focus on employee well-being includes offering free monthly online therapy sessions, interactive training opportunities, educational programs, and various employee appreciation events throughout the year. We provide comprehensive benefits, including medical, dental, vision, and retirement plans, to all full-time employees and some part-time employees. For those looking to embark on a new career in the medical or dental fields, Open Door offers paid training for many entry-level positions. Explore our list of open positions today and take the first step towards a rewarding career with us!

Open Door participates in the E-Verify program.

This means we use E-Verify to confirm the employment eligibility of all newly hired employees by electronically verifying information from their Form I-9 with the Social Security Administration and the Department of Homeland Security. Participation in E-Verify is voluntary for our organization, but we are committed to maintaining a legal and compliant workforce.

Notice of Non-Discrimination:

Open Door Community Health Centers does not discriminate based on citizenship status or national origin in accordance with 8 U.S.C. § 1324b. For more information about E-Verify, please visit: E-Verify Website (https://www.e-verify.gov/)