Coding Manager / HIM Coding Leader

Elion Health; United States; On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Opportunity to work on impactful AI projects

Collaboration with AI research organisation

Exposure to high-impact healthcare coding workflows

Job summary

Elion Health is looking for a Coding Manager to enhance coding operations using advanced AI systems. You will oversee compliance and accuracy in coding while evaluating AI-generated outputs to ensure the highest standards. Ideal candidates should have over 5 years of coding experience, including leadership roles, and be proficient in ICD-10-CM/PCS and CPT coding.

Join us to contribute to cutting-edge projects in healthcare AI, collaborating with leading professionals in a dynamic environment.

Qualifications

• 5+ years of experience in medical coding; 2+ years in a coding management role.
• Expert in coding guidelines and compliance regulations.
• Experience in coding audits and quality improvement.

Responsibilities

• Oversee coding operations ensuring accuracy and compliance.
• Evaluate AI-generated coding for accuracy.
• Conduct coding audits and provide feedback to staff.

Skills

ICD-10-CM/PCS knowledge

CPT/HCPCS proficiency

Professional fee coding

Attention to detail

Communication skills

Education

CPC, CCS, RHIA, or RHIT credential

Tools

3M

Nuance

Optum360

TruCode

Job description

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered coding solutions and help train next-generation autonomous coding systems. Your expertise in professional fee (profee) and/or inpatient facility coding, ICD-10-CM/PCS, CPT/HCPCS, and HIM operations will directly inform AI tools designed to improve coding accuracy, productivity, and compliance across healthcare settings.

Responsibilities

• 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, for accuracy and compliance.
• 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.

Requirements

• 5+ years of experience in medical coding, 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 (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.

Preferred Qualifications

• CPC (Certified Professional Coder), CCS (Certified Coding Specialist), RHIA, or RHIT credential.
• Experience with computer-assisted coding (CAC) tools and NLP-based coding platforms.
• Background in inpatient facility coding with DRG optimisation experience.
• Familiarity with AI coding tools and comfort evaluating AI-generated coding assignments.
• Experience presenting coding performance data and quality metrics to leadership.

Why Join?

• Contribute to the development of frontier AI systems in healthcare.
• Collaborate with a world-class AI research organisation.
• Gain 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.