Certified Medical Coding Specialist

Vor 7 Tagen


City of Melbourne, Österreich Mercor Vollzeit

About The Job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Seniority Level Not Applicable Employment Type Part-time Job Function Health Care Provider Industries Software Development Position Utility Management Nurse Type Contract / Part‑time Compensation $45–$75 / hour Location Remote / In person Commitment Flexible hours Role Responsibilities Review and optimize insurance coding practices to ensure compliance and maximize reimbursement accuracy. Evaluate existing revenue management workflows and recommend improvements using AI‑driven documentation tools. Translate complex clinical notes into standardized coding formats (ICD‑10, CPT, HCPCS) aligned with payer policies. Assess coding accuracy against insurance guidelines and payer documentation requirements. Collaborate with engineering and product teams to refine AI models for medical coding and documentation. Ensure compliance with HIPAA, CMS, and payer‑specific coding regulations. Qualifications Must-Have Licensure: Registered Nurse (RN) or equivalent clinical background. Experience: Minimum 3–5 years in medical coding, clinical documentation improvement (CDI), or revenue cycle management. Certifications: CPC, CCS, or CRC certification preferred. Familiarity with hospital billing systems, payer policy interpretation, and coding audit procedures. Strong understanding of clinical documentation standards and payer logic. Comfortable working with EHR systems (Epic, Cerner, Meditech) and documentation review software. Preferred Experience within hospital revenue integrity teams or insurance utilization management. Exposure to AI‑powered healthcare documentation tools or automated coding systems. Ability to identify and flag edge cases or policy exceptions in automated workflows. Strong collaboration skills with cross‑functional teams. Resources & Support For details about the interview process and platform information, please check : welcome / welcome Contact For any help or support, reach out to : PS : Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity. #J-18808-Ljbffr



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