Head of Clinical Coding Operations

Blue Zones Health; California (MO); On-site; USD 115,000 - 145,000; Full time

Job summary

Blue Zones Health seeks a Manager, Clinical Coding Operations to lead the day-to-day coding function, supervise coders, and ensure accurate chart reviews post-visit. This role drives operational workflows, quality controls, and staffing to support population health and risk-adjusted care.

The ideal candidate will have CRC and CPMA certifications, extensive Medicare Advantage/risk adjustment experience, and a proven ability to scale coding operations while maintaining compliance and provider

Qualifications

• CRC and CPMA certifications required.
• Experience with Medicare Advantage, risk adjustment, and value-based care.
• Experience building post-visit chart-review workflows and scalable coding operations.

Responsibilities

• Lead daily coding operations and manage the coder team.
• Develop and optimize coding workflows, queues, and turnaround standards.
• Ensure accuracy of diagnoses and coded information across reviews.

Skills

Leadership

Communication

Analytical skills

Problem solving

Cross-functional collaboration

Education

CRC

CPMA

Tools

EHR systems

Coding platforms

Job description

Blue Zones Health seeks a Manager, Clinical Coding Operations to lead the day-to-day coding function, supervise coders, and ensure accurate chart reviews post-visit. This role drives operational workflows, quality controls, and staffing to support population health and risk-adjusted care.

The ideal candidate will have CRC and CPMA certifications, extensive Medicare Advantage/risk adjustment experience, and a proven ability to scale coding operations while maintaining compliance and provider