Digital Medical Coding Consultant

10 - 14 years

0 Lacs

Posted:1 week ago| Platform: Shine logo

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On-site

Job Type

Full Time

Job Description

Role Overview: As a Senior Medical Coding Consultant at our reputable software company specializing in the healthcare industry, you will play a crucial role in validating and refining AI-generated medical codes across multiple specialties. Your expertise in medical coding will be utilized to ensure accuracy, compliance, and efficiency in automated coding workflows. You will collaborate with technical and clinical teams to enhance autonomous coding systems and contribute to the development of standardized coding workflows and guidelines for autonomous systems. 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. - Provide structured feedback to internal stakeholders to improve coding accuracy and system performance. - 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, 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. (Note: Additional Information section omitted as it did not contain any relevant details for the job description),

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