Certified Medical Coding Specialist

Certified Medical Coding Specialist at Mercor

$45.00/hr - $75.00/hr

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 .

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:
• 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