Medical Coding Lead - Remote (US)

Type: Contract, remote within the United States | Location: Remote, United States | Positions: 1 | Term: 12-month base period from November 1, 2026, with one possible option year | Start: contingent on contract award

The role

Our client is a large tertiary health system in the Great Lakes region standing up a dedicated sixteen-person coding team covering inpatient, outpatient, and surgical volume across a wide range of specialties. This is the team's working lead seat: you keep fourteen coders consistent and unblocked while staying hands-on with the hardest records yourself.

You will review coding across the team, coach coders on timeliness and accuracy, resolve audit findings and claim denials tied to coding errors, and build the training material the team runs on. You are the first call for coding questions from providers, coders, and billers, and the supporting right hand to the coding supervisor.

This position requires U.S. citizenship, and all work must be performed from within a U.S. jurisdiction. Successful completion of a background investigation is required before starting.

What you will own

• Reviewing team coding output and giving coders concrete guidance that holds the program's 95% accuracy and timeliness standards
• Coordinating, assigning, and monitoring the team's workflow, and preparing the reports and data analysis leadership runs on
• Resolving audit findings and claim denials tied to coding errors, and correcting daily coding rejections
• Orienting and instructing new coding personnel on coding, abstracting, and the EHR and encoder toolchain
• Tracking regulatory and policy changes that affect coding, identifying the team's educational needs, and building training materials and curriculum to close them
• Fielding coding inquiries from providers, coders, billers, and other facility staff
• Providing input to performance evaluations and hiring

What we require

• An active AHIMA credential (RHIT, RHIA, CCS, or CCS-P) or AAPC CPC, maintained throughout the engagement, and qualifications that meet or exceed the team's base coder standard
• Two years of continuous professional coding experience in a health system comparable in size and complexity to a large tertiary medical center
• Completion of an accredited coding certificate or HIM/HIT program
• U.S. citizenship and fluent spoken and written English
• Eligibility to pass a background investigation and exclusion-list screening

What will set you apart

• Prior lead or mentorship experience on a production coding team
• A track record resolving denials and audit findings at scale

Work environment

Remote-first: work is performed from your own workspace over the client's secure VPN, with occasional on-site work only by mutual agreement. All personnel must be physically located in a U.S. jurisdiction while working.

Hours and coverage

The program runs 6:00 a.m. to 6:00 p.m. Monday through Friday. As lead you help ensure the team's coverage holds across that window, including overlap for handoffs and absences.

Compliance and credentialing

Immunization documentation (MMR, hepatitis B, varicella, TB screening, annual flu) and participation in annual privacy and compliance training are required. The client maintains a competency file for each coder covering certifications, experience, and completed training.

Location

Remote (U.S.)

Why candidates will be interested

A lead seat with real scope - fourteen coders, published standards, direct influence on training and quality - on a two-year remote engagement, with your required coding CEUs funded as part of the engagement.