Revenue-Cycle 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

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.