Cost Engineer

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 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-assistive 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.

$60,000.00 yearly

Full-time