Medical Coding Lead, US
About The Position
Parallel is building AI agents to automate healthcare administrative processes, beginning with inpatient medical coding. Its agents review the full patient record before billing, identify documentation that has not been coded, and provide suggestions for coders to validate. Parallel works with around 100 hospitals and clinics in France and plans to launch in the US in 2027. The Medical Coding Lead will be the coding authority and first coding expert on Parallel’s founding US team. The role will shape US inpatient coding logic with AI engineers, resolve complex coding cases, and ensure that suggestions sent to hospitals are accurate, compliant, and supported by documentation. The lead will help establish and scale US pilots, including reviewing hospital practices and workflows, conducting second-level review, presenting audit results, and securing coding-leader sign-off for go-live. As pilots scale, the lead will recruit and manage part-time US coders and collaborate with the coding team in France. The position reports to Paul Lafforgue, CEO and co-founder, who leads the US launch. It is based in New York, includes travel to customer hospital sites (40%) and requires 2–4 weeks of onboarding in Paris.
Requirements
- 5 to 10 years of experience in inpatient coding, including coding audit or DRG validation.
- CCS certification, plus RHIA or RHIT.
- Experience working across multiple hospitals through audit or consulting work, payer-side review, or a multi-hospital coding quality role.
- Based in New York or willing to relocate.
- US work authorization.
- Expert, rigorous approach to resolving complex cases using references.
- Ability to explain complex coding decisions clearly to engineers and HIM directors, in writing and in person.
- Comfort starting from scratch in a startup environment.
Nice To Haves
- CDIP or CCDS certification.
- Experience at a coding, CDI, or revenue cycle technology vendor, such as an encoder, computer-assisted coding, or AI coding vendor.
- Curiosity about AI and interest in shaping how it is used in coding.
Responsibilities
- Work with AI engineers to turn ICD-10-CM/PCS Official Guidelines, Coding Clinic, MS-DRG, and APR-DRG logic into rules and specifications.
- Write annotation guidelines and build test sets used to measure model performance.
- Review model errors weekly, explain why suggestions are incorrect, and identify edge cases that affect accuracy.
- Resolve complex cases involving principal diagnosis selection, sequencing, CC/MCC capture, ICD-10-PCS root operations, and POA.
- Work with the physician advisor on clinical validation cases, including sepsis, malnutrition, and respiratory failure.
- Analyze each hospital’s coding practices and workflows before go-live.
- Conduct second-level review before coding suggestions reach hospital coders.
- Present audit results to hospital HIM and coding leaders and obtain their sign-off for go-live.
- Join sales meetings to demonstrate the company’s coding capabilities.
- Ensure every suggestion is documentation-supported and has an audit trail.
- Maintain coding compliance, including avoiding upcoding and ensuring compliant queries and clean audit records.
- Recruit and lead part-time coders as pilots scale.
- Collaborate with the team of 20 coding experts in France.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
