Medical Coding Lead, US

The role

You will build US coding logic with AI engineers and settle hard inpatient coding cases. You will also lead US coders and ensure coding accuracy and compliance for hospital pilots.

What you will do

• Build US coding logic with AI engineers
• Turn ICD-10-CM/PCS Official Guidelines, Coding Clinic, MS-DRG and APR-DRG logic into rules and specs
• Write annotation guidelines and build test sets
• Review model errors and flag edge cases
• Settle hard cases regarding principal diagnosis, sequencing, CC/MCC capture, ICD-10-PCS root operations and POA
• Work with physician advisor on clinical validation cases
• Analyze hospital coding practices and workflows
• Run second-level review before suggestions reach hospital coders
• Present audit results to hospital HIM and coding leaders
• Recruit and lead part-time coders

Required qualifications

• 5 to 10 years in inpatient coding, including coding audit or DRG validation
• CCS
• RHIA or RHIT
• Based in New York or willing to relocate
• US work authorization

Nice to have

• CDIP or CCDS
• Experience at a coding, CDI or revenue cycle technology vendor (encoder, computer-assisted coding, AI coding)

Before you apply

• Intro call
• Medical coding exercise involving three hard inpatient cases
• Working session with an AI engineer
• Call with CEO and Chief Medical Officer
• References

About the company

Parallel builds AI agents that help healthcare organizations automate administrative processes like medical coding. Launched in 2024, the company has 800+ customers and a team of 30+ people.