Coding Manager / HIM Coding Leader (Train AI Models Part Time!)

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.