Digital Medical Coding Consultant

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

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.