Coding • boston ma
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 c... Mostrar más
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 c... Mostrar más
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Clinical Documentation Integrity (CDI) managers and leaders to ... Mostrar más
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 c... Mostrar más
Senior Consultant - Healthcare Clinical Documentation Specialist.Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and an evolving regulatory environmen... Mostrar más
POTENTIAL INDEPENDENT CONTRACTOR INSTRUCTIONAL ASSIGNMENTS.Coding Instructor Opportunities.On-site at partner schools; varies by assignment.Elementary, Middle, and High School; varies by assignment... Mostrar más
Billing Compliance Auditor III (hybrid).Under general supervision performs audits of clinical documentation, physician billing and payment records and applicable industry standard codes by analyzin... Mostrar más
Asset Management Financial Services.Position Overview: The Compliance Consultant will work with members of the Compliance team and other internal teams on a project to develop and implement a new p... Mostrar más
Solutions Trainer (CDI/Coding).Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best.At Solve... Mostrar más
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 c... Mostrar más
Revenue Integrity Specialist (Professional Billing).Serves as a Charge Generation Tracker (CGT) and regulatory resource to ensure compliance with coding and billing guidelines.Acts as a primary res... Mostrar más
The Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative wor... Mostrar más
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Mostrar más
Certified Professional Coder (CPC).We're building a world of health around every individual shaping a more connected, convenient and compassionate health experience.At CVS Health, you'll be surrou... Mostrar más
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Mostrar más
AI training project by creating reinforcement learning environments that evaluate AI models on complex software engineering tasks using.You will design reproducible environments, deterministic veri... Mostrar más
Full Stack Development Lead/Manager.Strong hands-on expertise in C#,.Experience building scalable APIs and microservices.Experience in building responsive, enterprise-grade UI.Expertise in complex ... Mostrar más
Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Mostrar más
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools des... Mostrar más
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Clinical Documentation Integrity (CDI) managers and leaders to ... Mostrar más
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.
