Direct experience with ED coding workflows, including facility and professional fee coding * Experience with clinical decision-support tools, coding software, or health IT platforms * Background in ...
Direct experience with ED coding workflows, including facility and professional fee coding * Experience with clinical decision-support tools, coding software, or health IT platforms * Background in ...
Director, Payment Integrity
Nottingham, MD · On-site +1
$182K - $217K/yr
The Director of Payment Integrity will be a subject matter expert (SME) for clinical, coding, and ... Provide clinical, coding, and technical rationales for audit programs to Compliance, Network ...
Director, Payment Integrity
Nottingham, MD · On-site +1
$182K - $217K/yr
The Director of Payment Integrity will be a subject matter expert (SME) for clinical, coding, and ... Provide clinical, coding, and technical rationales for audit programs to Compliance, Network ...
Clinical Documentation Improvement Specialist - CCS Certified Coder 2223-OJO Job Ref.: 2223 Role ... managers, coding and data quality staff, case management and Director, Health Information ...
Clinical Documentation Improvement Specialist - CCS Certified Coder 2223-OJO Job Ref.: 2223 Role ... managers, coding and data quality staff, case management and Director, Health Information ...
Medical Director, Clinical Policy
Los Angeles, CA · On-site
$278K - $350K/yr
Validate codes, rules, and clinical logic are appropriately aligned and consistently applied across systems without direct involvement in system build activities. Oversee authorization matrix ...
Medical Director, Clinical Policy
Los Angeles, CA · On-site
$278K - $350K/yr
Validate codes, rules, and clinical logic are appropriately aligned and consistently applied across systems without direct involvement in system build activities. Oversee authorization matrix ...
Medical Director, Clinical Policy
$278K - $350K/yr
Validate codes, rules, and clinical logic are appropriately aligned and consistently applied across systems without direct involvement in system build activities. Oversee authorization matrix ...
Medical Director, Clinical Policy
$278K - $350K/yr
Validate codes, rules, and clinical logic are appropriately aligned and consistently applied across systems without direct involvement in system build activities. Oversee authorization matrix ...
Clinical Director
Cleveland, OH · On-site
$77K - $105K/yr
The Clinical Director, Clinical Field Operations is responsible for modeling the WellBe values and ... S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working ...
New
Clinical Director
Cleveland, OH · On-site
$77K - $105K/yr
The Clinical Director, Clinical Field Operations is responsible for modeling the WellBe values and ... S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working ...
New
WellBe's clinician-led geriatric care teams provide concierge-level medical care and social support ... S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working ...
WellBe's clinician-led geriatric care teams provide concierge-level medical care and social support ... S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working ...
The Campus Director, Clinical Operations (Online) willimplement streamlined processes and ... Code of Ethical Conduct,Compliance Agreement, Sexual Harassment Policy or any of its policies and ...
The Campus Director, Clinical Operations (Online) willimplement streamlined processes and ... Code of Ethical Conduct,Compliance Agreement, Sexual Harassment Policy or any of its policies and ...
Director, Clinical Operations (Online)
$96K - $140K/yr
The Campus Director, Clinical Operations (Online) will implement streamlined processes and ... Code of Ethical Conduct, Compliance Agreement, Sexual Harassment Policy or any of its policies and ...
Director, Clinical Operations (Online)
$96K - $140K/yr
The Campus Director, Clinical Operations (Online) will implement streamlined processes and ... Code of Ethical Conduct, Compliance Agreement, Sexual Harassment Policy or any of its policies and ...
Director Clinical Research
Raleigh, NC · On-site
Responsibilities: 1. Clinical Research Administration Exceeds departmental and organizational goals ... coding accuracy, and financial reconciliation of charges. Uses financial information to monitor ...
Director Clinical Research
Raleigh, NC · On-site
Responsibilities: 1. Clinical Research Administration Exceeds departmental and organizational goals ... coding accuracy, and financial reconciliation of charges. Uses financial information to monitor ...
Director Clinical Research
Raleigh, NC · On-site
Responsibilities: 1. Clinical Research Administration Exceeds departmental and organizational goals ... coding accuracy, and financial reconciliation of charges. Uses financial information to monitor ...
Director Clinical Research
Raleigh, NC · On-site
Responsibilities: 1. Clinical Research Administration Exceeds departmental and organizational goals ... coding accuracy, and financial reconciliation of charges. Uses financial information to monitor ...
The Director, Clinical Data Management provides strategic and operational leadership and oversight ... Oversee and as needed, directly support coding review for adverse events, medical history and ...
The Director, Clinical Data Management provides strategic and operational leadership and oversight ... Oversee and as needed, directly support coding review for adverse events, medical history and ...
The Director, Clinical Data Management provides strategic and operational leadership and oversight ... Oversee and as needed, directly support coding review for adverse events, medical history and ...
The Director, Clinical Data Management provides strategic and operational leadership and oversight ... Oversee and as needed, directly support coding review for adverse events, medical history and ...
Senior Clinical Coder (Inpatient Coder)
Phoenix, AZ · On-site
$18.50 - $24.75/hr
Provides coding-related information to medical directors, providers, peer reviewers, Claims ... Provides support to non-clinical and clinical staff on coding and retrospective medical claims ...
Senior Clinical Coder (Inpatient Coder)
Phoenix, AZ · On-site
$18.50 - $24.75/hr
Provides coding-related information to medical directors, providers, peer reviewers, Claims ... Provides support to non-clinical and clinical staff on coding and retrospective medical claims ...
Direct and coordinate activities for the Clinical Research Services unit. * Facilitate timely and ... Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record ...
Direct and coordinate activities for the Clinical Research Services unit. * Facilitate timely and ... Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record ...
Position Overview Prime Medicine is seeking an experienced Associate Director of Clinical Data ... Oversee CRF design, database build, edit checks, data review, coding, reconciliation, and database ...
Position Overview Prime Medicine is seeking an experienced Associate Director of Clinical Data ... Oversee CRF design, database build, edit checks, data review, coding, reconciliation, and database ...
Mgr, Post Service Clinical Claims Review
Newark, NJ · On-site +1
Areas of responsibility cross multiple disciplines including Clinical, Clinical Coding, Operations ... This role continually assesses opportunities for performance and quality improvement through Direct ...
Mgr, Post Service Clinical Claims Review
Newark, NJ · On-site +1
Areas of responsibility cross multiple disciplines including Clinical, Clinical Coding, Operations ... This role continually assesses opportunities for performance and quality improvement through Direct ...
... clinical documentation to support coding and billing regulations to insure appropriate reimbursement and to support public reporting and various initiatives as directed by Hackensack Meridian Health ...
... clinical documentation to support coding and billing regulations to insure appropriate reimbursement and to support public reporting and various initiatives as directed by Hackensack Meridian Health ...
Clinical Documentation Integrity Specialist
Omaha, NE · Remote
$31.50 - $42.50/hr
Job Duties & Skills Required What You Will Do The overall purpose of this job utilizes advanced clinical coding expertise to direct efforts towards the integrity of clinical documentation through the ...
Clinical Documentation Integrity Specialist
Omaha, NE · Remote
$31.50 - $42.50/hr
Job Duties & Skills Required What You Will Do The overall purpose of this job utilizes advanced clinical coding expertise to direct efforts towards the integrity of clinical documentation through the ...
Coding Quality Auditor
Neptune, NJ · On-site
$97K/yr
... clinical documentation to support coding and billing regulations to insure appropriate reimbursement and to support public reporting and various initiatives as directed by Hackensack Meridian Health ...
Coding Quality Auditor
Neptune, NJ · On-site
$97K/yr
... clinical documentation to support coding and billing regulations to insure appropriate reimbursement and to support public reporting and various initiatives as directed by Hackensack Meridian Health ...
Director Clinical Coding information
See salary details
$51.5K - $62K
3% of jobs
$62K - $72.5K
11% of jobs
$78.8K is the 25th percentile. Wages below this are outliers.
$72.5K - $83K
19% of jobs
The median wage is $90.9K / yr.
$83K - $93.5K
23% of jobs
$93.5K - $104K
17% of jobs
$105.8K is the 75th percentile. Wages above this are outliers.
$104K - $114.5K
14% of jobs
$114.5K - $125K
7% of jobs
$125K - $135.5K
3% of jobs
$135.5K - $146K
2% of jobs
$146K - $156.5K
1% of jobs
$156.5K - $167K
0% of jobs
$51.5K
$100.1K
$167K
How much do director clinical coding jobs pay per year?
What is the difference between Director Clinical Coding vs Clinical Coding Manager?
| Aspect | Director Clinical Coding | Clinical Coding Manager |
|---|---|---|
| Credentials | Certifications in coding and management, relevant degrees | Certifications in coding, management experience |
| Work Environment | Strategic leadership, overseeing coding departments | Operational management, supervising coding teams |
| Industry Usage | Healthcare organizations, hospitals, health systems | Hospitals, clinics, healthcare providers |
| Search Intent | Understanding leadership roles in coding | Managing coding teams and processes |
The main difference between a Director Clinical Coding and a Clinical Coding Manager lies in their scope of responsibilities. The Director typically focuses on strategic oversight and departmental leadership, while the Manager handles day-to-day operations and team supervision. Both roles require relevant certifications and experience in clinical coding, but the Director's role is more senior and strategic.

Full-time
Medical, Dental, Vision
Posted 10 days ago
Job description
At Qualified Health, we're redefining what's possible with Generative AI in healthcare. Our infrastructure provides the guardrails for safe AI governance, healthcare-specific agent creation, and real-time algorithm monitoring working alongside leading health systems to drive real change.
This is more than just a job. It's an opportunity to build the future of AI in healthcare, solve complex challenges, and make a lasting impact on patient care. If you're ambitious, innovative, and ready to move fast, we'd love to have you on board.
Join us in shaping the future of healthcare.
Job Summary
The Clinical AI Specialist, RN - Medical Coding is a unique role that combines clinical nursing expertise with medical coding knowledge to help build and refine Qualified Health's AI-powered revenue cycle management tools. You will bring your clinical and coding expertise to our Medical Coding product line, starting with Emergency Department coding and expanding into broader RCM applications.
In this role, you'll work closely with our product and engineering teams to validate clinical logic, stress-test edge cases, and ensure our AI tools produce accurate, compliant outputs. Your deep understanding of how clinical documentation translates into codes and how coding errors affect reimbursement and compliance will directly shape how our products work. You'll also stay current on coding guidelines and regulatory changes so our tools always reflect the latest standards.
This is not a traditional coding or nursing role. You'll be embedded in a fast-moving health tech team, using and evaluating AI tools daily, and your expertise will have an outsized impact on the quality and safety of products used across leading health systems. This role reports to Product Leadership and is ideal for someone who wants to apply their clinical and coding skills in a completely new way.
This is a full-time role, though we are open to discussing a part-time or contract arrangement to start for the right candidate.
Key Responsibilities
Clinical Coding Expertise & Product Development
- Provide expert input on E/M leveling, CPT and ICD-10 code selection, modifier usage, and documentation requirements specific to emergency medicine. You'll Serve as the internal clinical and coding authority for Qualified Health's Medical Coding product line, with an initial focus on Emergency Department coding
- Review and stress-test business logic and AI-generated coding outputs against clinical documentation, ensuring accuracy, completeness, and compliance with CMS, AMA, and payer-specific guidelines
- Ensure clinical safety and functional accuracy of product releases before they reach customers
Guideline Management & Compliance
- Stay up to date to coding guidelines, CMS rules, LCD/NCD policies, and payer requirements that affect ED coding and broader RCM workflows, translating them into actionable product requirements and relevant internal documents
- Advise on compliance considerations as the product line expands into new RCM areas beyond ED coding
- Partner with product managers, engineers, and data scientists to inform product design decisions with real-world coding expertise; helping the team understand the "why" of Medical Coding
- Create and review test cases, sample charts, and validation datasets to ensure comprehensive product testing
- Contribute to client-facing materials, training documentation, and product demos where clinical coding credibility is needed
- Become a power user of Qualified Health's AI coding tools, developing deep familiarity with their capabilities and limitations
- Identify opportunities where AI can add more value in the coding and revenue cycle workflow
- Help define what "good" looks like for AI-assisted coding by establishing accuracy benchmarks and quality standards
Required Qualifications
- Active Registered Nurse (RN) license
- 3-7 years of experience in medical coding, clinical documentation improvement (CDI), or revenue cycle roles, with meaningful exposure to Emergency Department coding
- Strong working knowledge of CPT, ICD-10-CM/PCS, E/M leveling, HCPCS, CCI edits, and modifier application
- Familiarity with CMS guidelines, Medicare/Medicaid billing rules, and payer-specific requirements
- Comfort working with technology teams and translating clinical concepts into product requirements
- Ability to work independently and manage your own priorities in a fast-paced startup environment
Desired Qualifications
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar coding certification
- Direct experience with ED coding workflows, including facility and professional fee coding
- Experience with clinical decision-support tools, coding software, or health IT platforms
- Background in coding audits, denial management, or compliance review
- Regular user of generative AI tools (ChatGPT, Claude, or similar) with curiosity about how AI can improve healthcare operations
- Previous experience at a health tech company, healthcare startup, or coding/RCM vendor
- Coding Precision: You catch what others miss. You understand the nuances of code selection, modifier usage, and documentation requirements, and you hold the product to the same standard.
- Clinical Translator: You can bridge the gap between clinical documentation, coding logic, and product engineering. You speak all three languages.
- Detail-Oriented: Meticulous in your review process. You think in edge cases and aren't satisfied until you've pressure-tested the logic thoroughly.
- Tech-Forward: Excited about AI and technology. You don't need to be an engineer, but you're genuinely curious about how AI works and eager to learn new tools.
- Self-Directed: You take ownership of your work and manage your time well. You don't need someone looking over your shoulder to deliver high-quality results.
- Collaborative: You enjoy working with product and engineering teams and can communicate your expertise clearly without talking down to non-clinical colleagues.
- Adaptable: Comfortable with ambiguity and changing priorities. You're joining a startup where the product is evolving quickly, and you see that as exciting, not stressful.
This role is remote-friendly. Occasional travel to Palo Alto for team collaboration and planning sessions may be required, estimated at less than 15%.
Why Join Qualified Health?
This is an opportunity to join a fast-growing company and a world-class team, that is poised to change the healthcare industry. We are a passionate, mission-driven team that is building a category-defining product. We are backed by premier investors and are looking for founding team members who are excited to do the best work of their careers.
Our employees are integral to achieving our goals so we are proud to offer competitive salaries with equity packages, robust medical/dental/vision insurance, flexible working hours, hybrid work options and an inclusive environment that fosters creativity and innovation.
Our Commitment to Diversity
Qualified Health is an equal opportunity employer. We believe that a diverse and inclusive workplace is essential to our success, and we are committed to building a team that reflects the world we live in. We encourage applications from all qualified individuals, regardless of race, color, religion, gender, sexual orientation, gender identity or expression, age, national origin, marital status, disability, or veteran status.
What We Offer
- Competitive startup salary and equity packages.
- Health, dental, and vision insurance.
- Flexible working hours and remote work options.
- An opportunity to be at the forefront of AI in healthcare, making substantial impacts on patient care and outcomes.
- A vibrant and inclusive work environment that fosters creativity and innovation.
The pay range for this role is between $105,000 and $135,000 and will depend on your skills, qualifications, and experience. This role is also eligible for equity and benefits. For candidates interested in a part-time or contract arrangement, compensation will be adjusted accordingly.
Join our mission to revolutionize healthcare with AI. To apply, please send your resume through the application below.
About Qualified Health
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