[Hiring] Coding Manager / HIM Coding Leader @Mercor

Role Description

Oversee professional fee and/or facility inpatient coding operations. Ensure accuracy, productivity, and compliance with coding guidelines.

• Evaluate AI-generated coding assignments, including ICD-10-CM/PCS, CPT/HCPCS, and DRG assignments. Ensure accuracy and compliance.
• Conduct coding quality audits. Provide targeted feedback to coding staff and AI systems.
• Monitor coding KPIs, including coder productivity, accuracy rates, unbilled accounts, and claim denial rates due to coding errors.
• Manage coding workflow queues, work distribution, and turnaround time compliance.
• Collaborate with CDI, billing, and compliance teams. Address coding-related revenue integrity issues.

Qualifications

• 5+ years of experience in medical coding. 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. Ability to identify coding errors, compliance risks, and AI output inaccuracies.

Requirements

• 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. Comfort evaluating AI-generated coding assignments (preferred).
• Experience presenting coding performance data and quality metrics to leadership (preferred).

Benefits

• Compensation: $80/hour
• Type: Contract
• Location: Remote

Application Process

• Upload resume
• AI interview based on your resume
• Submit form

Resources & Support

• For details about the interview process and platform information, please check: Interview Process
• For any help or support, reach out to: [email protected]