Remote Coding Manager / HIM Coding Leader - AI Trainer ($80-$80 per hour)

Mercor

Bayonne (NJ)

Remote

USD 120,000 - 170,000

Full time

8 days ago

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Job summary

Mercor leads in advancing AI-powered medical coding and healthcare information management. This role drives professional fee and facility inpatient coding, ensuring accuracy, productivity, and regulatory compliance across healthcare settings.

As a Coding Manager, you will evaluate AI-generated codes, conduct audits, and guide staff training while collaborating with CDI, billing, and compliance teams. Bayonne, NJ-based leadership opportunity with impact on AI-driven workflows.

Qualifications

  • 5+ years of medical coding experience with at least 2 years in a leadership role.
  • Expert knowledge of ICD-10-CM/PCS, CPT/HCPCS, and Official Coding Guidelines.
  • Proficiency with coding software such as 3M, Nuance, Optum360, and TruCode.
  • Strong written and verbal English communication skills.

Responsibilities

  • Oversee professional fee and facility inpatient coding operations for accuracy and compliance.
  • Evaluate AI-generated coding assignments for accuracy and compliance.
  • Conduct coding quality audits and provide feedback to staff and AI systems.
  • Monitor KPIs like productivity, accuracy, unbilled accounts, and denials due to coding errors.
  • Manage coding workflows, queues, distribution, and turnaround times.
  • Ensure adherence to Official Coding Guidelines, CMS regs, and payer rules.
  • Provide ongoing coding education and compliance training.
  • Collaborate with CDI, billing, and compliance to address revenue integrity issues.
  • Annotate AI outputs and give structured feedback for AI training datasets.

Skills

Coding leadership
English communication
Attention to detail
Quality improvement

Education

CPC (Certified Professional Coder)
CCS (Certified Coding Specialist)
RHIA
RHIT

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.
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