Digital Medical Coding Consultant - Remote

Overview

We are seeking a highly experienced and detail-oriented Senior Medical Coding Consultant to join our team. This role involves validating and refining AI-generated medical codes across multiple specialties, ensuring accuracy, compliance, and efficiency in automated coding workflows.

In Short

• Review and validate AI-generated coded encounters for accuracy and consistency across providers and specialties.
• Identify and document coding patterns, anomalies, and edge cases to support internal quality improvement.
• Collaborate with R&D teams to provide insights into coding automation opportunities and system enhancements.
• Ensure compliance with payer-specific guidelines, official coding standards (ICD-10, CPT, HCPCS), and evolving documentation requirements.
• Provide structured feedback to internal stakeholders to improve coding accuracy and system performance.
• Contribute to the development of standardized coding workflows and guidelines for autonomous systems.
• Maintain awareness of industry updates, regulatory changes, and best practices in autonomous coding.
• Conduct audits and participate in coding reviews to ensure high-quality outputs.

Requirements

• Minimum 10 years of hands-on experience in multispecialty medical coding.
• Strong knowledge of ICD-10, CPT, HCPCS coding systems.
• CMS and payer-specific documentation guidelines.
• Anatomy, physiology, and clinical procedures.
• Proven ability to review and provide feedback on AI-generated coding outputs.
• Excellent analytical, communication, and collaboration skills.
• Experience with Electronic Health Records (EHR) and coding software tools.
• Certification(s) such as CPC, CCS, COC, CRC, RHIT preferred.

Benefits

• Duration: 3 to 6 months.
• Shift: Preferably US shift.
• Location: Remote or Hybrid (Vizag).
• Work Schedule - Part-time position (20-30 hours per week), but open to full time if required to hire a good candidate.