Remote AI-Driven Medical Coding Leader (Coding Manager)

mercor; United States; Remote; USD 91,000 - 129,000; Full time

Job summary

Mercor is seeking a Coding Manager / HIM Coding Leader to oversee professional fee and facility inpatient coding operations in a remote capacity across the United States. The role focuses on managing coding workflow, evaluating AI-generated coding outputs, and ensuring accuracy, compliance, and KPI performance across ICD-10-CM/PCS, CPT/HCPCS, and DRG assignments.

Ideal candidates bring 5+ years in medical coding with leadership experience and proficiency in 3M, Nuance, Optum360 or TruCode, plus

Qualifications

• 5+ years in medical coding
• 2+ years in a coding manager or HIM leadership role
• Expert knowledge of ICD-10-CM/PCS, CPT/HCPCS and Official Coding Guidelines
• Proficiency with professional fee coding and DRG assignment
• Experience conducting coding audits and improving quality programs
• Proficiency with coding software and EHR platforms

Responsibilities

• Oversee professional fee and/or facility inpatient coding operations, ensuring accuracy, productivity and compliance with guidelines.
• Evaluate AI-generated coding assignments including ICD-10-CM/PCS, CPT/HCPCS, and DRG assignments for accuracy and compliance.
• Conduct coding quality audits and provide targeted feedback to staff and AI systems.
• Monitor coding KPIs such as coder productivity, accuracy, unbilled accounts, and denial rates due to coding errors.
• Manage coding workflow queues, work distribution and turnaround time.
• Collaborate with CDI, billing and compliance teams to address coding-related revenue integrity issues

Skills

Medical coding experience

Leadership

ICD-10-CM/PCS

CPT/HCPCS

DRG concepts

Quality audits

English communication

Education

CPC

CCS

RHIA

RHIT

Tools

3M

Nuance

Optum360

TruCode

Job description

Mercor is seeking a Coding Manager / HIM Coding Leader to oversee professional fee and facility inpatient coding operations in a remote capacity across the United States. The role focuses on managing coding workflow, evaluating AI-generated coding outputs, and ensuring accuracy, compliance, and KPI performance across ICD-10-CM/PCS, CPT/HCPCS, and DRG assignments.

Ideal candidates bring 5+ years in medical coding with leadership experience and proficiency in 3M, Nuance, Optum360 or TruCode, plus