HIM Coding Manager - AI Systems

Obsidian; New York (NY); Sur place; USD 90 000 - 120 000; Plein temps

Avantages offerts par ce poste

Opportunity to work on AI in healthcare

Collaborative environment with leading researchers

Exposure to cutting-edge AI workflows

Résumé du poste

Obsidian is seeking a Coding Manager to oversee professional fee and inpatient facility coding operations. The role involves evaluating AI-generated coding solutions to enhance accuracy and compliance with official guidelines while collaborating with billing and compliance teams.

The ideal candidate should have over 5 years of experience in medical coding and proficiency in various coding software. Join us in shaping the future of healthcare AI with your expertise.

Qualifications

• 5+ years of experience in medical coding, with at least 2 years in a managerial or HIM leadership role.
• Expert knowledge of coding guidelines.
• Proficient in coding software and EHR platforms.

Responsabilités

• Oversee inpatient coding operations ensuring accuracy and compliance.
• Evaluate AI-generated coding assignments.
• Conduct coding quality audits.

Connaissances

ICD-10-CM/PCS expertise

CPT/HCPCS coding knowledge

Professional fee coding

Leadership and management

Attention to detail

Communication skills

Formation

CPC, CCS, RHIA, or RHIT certification

Outils

3M coding software

Nuance

Optum360

TruCode

Description du poste

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.