Manager, Coding & Documentation Improvement

Remote Opportunity

Schedule : Monday - Friday

PRIMARY FUNCTION

The Coding and Documentation Improvement Manager will lead initiatives across Clinical Documentation Integrity (CDI), coding accuracy, and provider education to drive excellence in documentation, billing compliance, and performance-based coding metrics. This role will develop and deploy strategies that align with value-based care, risk adjustment models, and payer-specific regulations, ensuring Pediatric Associates meets both internal performance standards and external regulatory requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES

This list may not include all of the duties that may be assigned.

Clinical Documentation & Coding Optimization

• Lead initiatives to improve diagnosis capture, focusing on secondary and chronic conditions and supporting value-based care models.
• Direct SDOH (Social Determinants of Health) education programs and develop audit tools to measure SDOH coding performance.
• Oversee development of documentation improvement workflows integrated into EHR, including prompts and real-time query tools.
• Champion the implementation of coding best practices and standardizing workflows across physician groups.
• Deliver performance dashboards to providers, highlighting missed coding opportunities and areas for improvement.

Provider & Staff Education

Audit & Accuracy Oversight

Denials Management & Risk Mitigation

Technology & Innovation

Leadership & Governance

SUPERVISORY RESPONSIBILITIES

QUALIFICATIONS

EDUCATION : Bachelor's or Associates degree in Health Information Management, Nursing, or related field preferred.

EXPERIENCE : A minimum of 5 years in coding and / or revenue cycle or roles, preferably in pediatric or multi-specialty settings. Experience with payer-specific programs (e.g., Medi-Cal), risk adjustment models, and value-based care preferred.

LICENSURE / CERTIFICATION

KNOWLEDGE, SKILLS AND ABILITIES

TYPICAL WORKING CONDITIONS

OTHER PHYSICAL REQUIREMENTS

PERFORMANCE REQUIREMENTS

Enter any additional requirements.

Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI (Protected Health Information) in accordance with organizational policy, Federal, State, and local regulations.