AI-Powered Medical Coding Lead

Visium Resources, Inc.; Chandler (AZ); On-site; USD 51,000 - 69,000; Full time

Job summary

Mercor is seeking experienced Coding Managers and HIM leaders to guide AI-powered coding solutions across healthcare settings. You will oversee professional fee and facility inpatient coding, audit AI outputs, and drive KPI improvements in productivity and accuracy.

Ideal candidates bring 5+ years in medical coding including leadership, plus expert knowledge of ICD-10-CM/PCS, CPT/HCPCS, and Official Guidelines. Proficiency with 3M, Nuance, Optum360, TruCode is preferred.

Qualifications

• 5+ years of medical coding experience with 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 coding and/or facility inpatient coding with DRG assignment experience.
• Experience with coding audits and quality improvement programs.
• Proficiency with coding software (3M, Nuance, Optum360, TruCode) and EHR platforms.
• Excellent written and verbal English communication skills.
• High attention to detail and ability to identify coding errors and AI output inaccuracies.

Responsibilities

• Oversee professional fee and/or facility inpatient coding operations, ensuring accuracy, productivity, and compliance.
• Evaluate AI-generated coding assignments for accuracy and compliance, including ICD-10-CM/PCS diagnoses, CPT/HCPCS codes, and DRG assignments.
• Conduct coding quality audits and provide targeted feedback to coding staff and AI systems.
• Monitor coding KPIs including productivity, accuracy, unbilled accounts, and denial rates due to coding errors.
• Manage coding workflow queues, 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 staff.
• Collaborate with CDI, billing, and compliance teams to address revenue integrity issues.
• Annotate AI outputs and provide structured feedback for AI training datasets.

Skills

Medical coding

Leadership

ICD-10-CM/PCS

CPT/HCPCS

Profee coding

Audits

EHR software

English communication

Education

CPC/CCS/RHIA/RHIT credentials

Tools

3M

Nuance

Optum360

TruCode

Job description

Mercor is seeking experienced Coding Managers and HIM leaders to guide AI-powered coding solutions across healthcare settings. You will oversee professional fee and facility inpatient coding, audit AI outputs, and drive KPI improvements in productivity and accuracy.

Ideal candidates bring 5+ years in medical coding including leadership, plus expert knowledge of ICD-10-CM/PCS, CPT/HCPCS, and Official Guidelines. Proficiency with 3M, Nuance, Optum360, TruCode is preferred.