Digital Medical Coding Consultant

We are a reputable software company specializing in the healthcare industry. Since 1988 we have been servicing the healthcare industry by providing various products to laboratories, hospitals and doctors. As a member of our organization you will be joining a smart and driven team that shares your passion for exploration and discovery in the Healthcare Software vertical. Our significant investment in people, processes, and technology equips our employees with the resources and opportunities to drive substantial value for all our client partners.

Job Summary:

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. The ideal candidate will bring deep expertise in medical coding and a strong ability to collaborate with technical and clinical teams to enhance autonomous coding systems at Medfar

Key Responsibilities:

• 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.

Qualifications:

• 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.

Preferred Skills:

• Experience in General Practice, Internal Medicine, Behavioral Health, and Pathology coding.
• Familiarity with AI-driven coding platforms and automation tools.
• Ability to work independently and manage remote workflows efficiently.

• 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