Coding Manager / HIM Coding Leader at Mercor

Coding Manager / HIM Coding Leader | $80/hr | Worldwide Remote

Mercor is partnering with a leading AI research lab to recruit experienced Coding Managers and HIM Coding Leaders to evaluate AI-powered coding solutions and help train next-generation autonomous medical coding systems. Your expertise will directly shape AI tools designed to improve coding accuracy, productivity, and compliance across healthcare settings.

Key Responsibilities

• Oversee professional fee and/or facility inpatient coding operations, ensuring accuracy, productivity, and regulatory compliance.
• Evaluate AI-generated coding assignments — including ICD-10-CM/PCS diagnoses, CPT/HCPCS codes, and DRG assignments — for accuracy and adherence to guidelines.
• Conduct coding quality audits and deliver targeted feedback to both coding staff and AI systems.
• Monitor coding KPIs such as coder productivity, accuracy rates, unbilled accounts, and claim denial rates.
• Manage coding workflow queues, work distribution, and turnaround time compliance.
• Ensure adherence to Official Coding Guidelines, CMS regulations, and payer-specific requirements.
• Provide ongoing coding education and compliance training to coding staff.
• Collaborate with CDI, billing, and compliance teams to address revenue integrity issues.
• Annotate AI-generated coding outputs and provide structured feedback to support AI training datasets.

Requirements

• 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 (profee) and/or facility inpatient coding with DRG assignment experience.
• Experience conducting coding audits and developing quality improvement programs.
• Proficiency with coding software (3M, Nuance, Optum360, TruCode) and EHR platforms.
• Exceptional written and verbal English communication skills with high attention to detail.

Preferred Qualifications

• CPC, CCS, RHIA, or RHIT credential.
• Experience with computer-assisted coding (CAC) tools and NLP-based coding platforms.
• Background in inpatient facility coding with DRG optimization experience.
• Familiarity with AI coding tools and comfort evaluating AI-generated outputs.
• 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 organization.
• Gain exposure to cutting-edge AI workflows in medical coding and health information management.
• Work on high-impact projects shaping the future of healthcare AI.