Coding Manager – HIM Coding Leader

🕒 Agosto 21

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $80 / hora

⏳ Contrato/Temporário

🟠 Sênior

👔 Gerente

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Mercor

Mercor

51 - 200 funcionários

Fundada em 2023

🔥 Investimento no último ano

💰 $350.000.000 Series C - Mercor em 2025-10

A Mercor é uma empresa para a qual não foi fornecido nenhum texto descritivo no material de entrada. São necessárias informações adicionais (produtos, serviços, clientes-alvo ou especificidades do setor) para criar um resumo preciso e selecionar os setores adequados.

Descrição

• Oversee professional fee and/or facility inpatient coding operations, ensuring accuracy, productivity, and compliance with coding guidelines • Evaluate AI-generated coding assignments, including ICD-10-CM/PCS diagnoses, procedure codes, CPT/HCPCS codes, and DRG assignments • Conduct coding quality audits and provide targeted feedback to coding staff and AI systems • Monitor coding KPIs, including coder productivity, accuracy rates, unbilled accounts, and claim denial rates attributable to coding errors • Manage coding workflow queues, work distribution, and turnaround time compliance • Ensure adherence to Official Coding Guidelines, CMS regulations, and payer-specific coding requirements • Provide ongoing coding education and compliance training to coding staff • Collaborate with CDI, billing, and compliance teams to address coding-related revenue integrity issues • Annotate AI-generated coding outputs and provide structured feedback to support AI training datasets • Work on projects that focus on training and enhancing AI systems

🎯 Requisitos

• 5+ years of experience in medical coding, including at least 2 years in a coding manager or HIM leadership role • Expert knowledge of ICD-10-CM/PCS, CPT/HCPCS, and Official Coding Guidelines • Proficiency in professional fee (profee) coding and/or facility inpatient coding with DRG assignment experience • Experience conducting coding audits and developing coding quality improvement programs • Proficiency with coding software (3M, Nuance, Optum360, TruCode) and EHR platforms • Exceptional written and verbal English communication skills • High attention to detail with the ability to identify coding errors, compliance risks, and AI output inaccuracies • CPC, CCS, RHIA, or RHIT credential preferred • Experience with computer-assisted coding (CAC) tools and NLP-based coding platforms preferred • Background in inpatient facility coding with DRG optimisation experience preferred • Familiarity with AI coding tools and comfort evaluating AI-generated coding assignments preferred • Experience presenting coding performance data and quality metrics to leadership preferred • Must be located in the USA • Must be authorized to work in the USA; H1-B and STEM OPT candidates are not supported

🏖️ Benefícios

• Fully remote role that can be completed on your own schedule • Weekly payments via Stripe or Wise based on services rendered • Opportunity to contribute to frontier AI systems in healthcare • Collaboration with a world-class AI research organisation • Exposure to cutting-edge AI workflows in medical coding and health information management • Opportunity to work on high-impact projects shaping the future of healthcare AI • Competitive pay • Referral payments of up to $420 for each successful referral

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