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AdventHealth

Integrated health system delivering whole-person care

Coding Operations Manager

Clinical Support & Patient AdministrationUpdated on Nov 13
Full-timeRemote in USA$73.5k - $136.7k

About the Job

Requirements

  • Advanced knowledge of ICD-10-CM/PCS and/or CPT/HCPCS coding methodologies and modifier usage.
  • Strong understanding of DRG/IPPS and/or OPPS/APC reimbursement methodologies and coding guidelines.
  • Ability to manage high-volume and/or high-complexity coding workflows across inpatient and/or outpatient environments.
  • Knowledge of clinical documentation, acuity representation, procedural coding, and CDI/Revenue Integrity alignment.
  • Ability to analyze coding performance metrics, operational trends, and workflow efficiency.
  • Strong leadership, coaching, and team development skills.
  • Cross-functional collaboration with CDI, Revenue Integrity, Coding Integrity, Audit, Compliance, and Solutions teams.
  • Ability to drive standardization, operational efficiency, and continuous performance improvement.
  • Bachelor's degree required; an Associate's degree with eight or more years of related work experience may be considered in lieu of the degree requirement.
  • Six or more years of acute care hospital coding experience required.
  • Three or more years of supervisor or management experience required.
  • Experience with complex surgical or procedural service lines required.
  • A Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Professional Coder (CPC) credential is required.

Responsibilities

  • Lead inpatient and outpatient coding operations across assigned service lines, ensuring alignment with enterprise throughput, timeliness, and workflow management expectations.
  • Drive timely coding performance to support DNFB reduction, revenue cycle performance, and efficient claim submission.
  • Monitor productivity, throughput, and turnaround time, addressing performance variability, coding complexity, and workflow challenges across coding teams.
  • Establish and enforce workflow management practices, including prioritization, queue management, and escalation protocols.
  • Ensure accurate application of ICD-10-CM/PCS and/or CPT/HCPCS coding guidelines, modifier usage, DRG and/or APC assignment, and OPPS/IPPS reimbursement methodologies and regulatory guidance.
  • Identify workflow inefficiencies affecting coding accuracy, procedural capture, coding velocity, and operational consistency, and implement process improvements to enhance performance.
  • Support backlog management and surge response strategies to maintain operational stability during fluctuations in coding volume and complexity.
  • Partner with CDI to ensure accurate documentation and appropriate representation of surgical procedures and patient acuity.
  • Collaborate with Coding Integrity and Education teams to integrate audit findings, regulatory guidance, and targeted education into operational improvements and staff performance management.
  • Partner with Revenue Integrity to identify charge capture gaps, improve procedural coding accuracy, and reduce reimbursement risk and revenue leakage.
  • Work with Technology and Workforce Optimization teams to align workflows, queue design, staffing models, and system functionality with operational demand.
  • Ensure compliance with coding standards, regulatory guidelines, and organizational policies across inpatient and/or outpatient coding operations.
  • Provide reporting and insights on coding performance, workflow trends, operational risks, and coding outcomes to leadership.
  • Lead and develop coding staff and supervisors, ensuring accountability, technical expertise, coding consistency, and alignment with enterprise performance expectations.

Desired Qualifications

  • A Master's degree is preferred.

About the Company

AdventHealth

Integrated health system delivering whole-person care

AdventHealth operates a nationwide network that provides whole-person health care across hospitals, physician practices, ambulatory surgery centers, outpatient clinics, home health, hospice, and digital tools. It coordinates care through an integrated system where care teams work across inpatient, outpatient, and at-home settings, supported by the AdventHealth app for scheduling, telehealth, and records. It differentiates itself with a mission-driven focus rooted in Christian heritage and a large, connected network designed to cover the full patient journey from hospital to home. Its goal is to extend the healing ministry of Christ by improving the health and prosperity of the communities it serves, offering accessible, coordinated care that addresses physical, mental, and spiritual well-being.

Company size
10,001+
Company stage
Grant
Total funding
$250K
Headquarters
Florida, United States
Founded
1973

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