Senior Medical Coder

7 days ago

New Delhi, India OlleyaHealth Pvt Ltd Full time

Position: Senior Medical Coding Specialist – AI/ML Audit & Training (Athena Experience
Preferred)
Company: OlleyaHealth | https://www.olleyahealth.com/
Location: Mumbai or Bangalore (Fully Remote – Occasional Onsite Meetings)
Schedule: Full-Time | English Fluency Required | CST Overlap
About the Organization:
AI-Driven Coding Automation for U.S. Healthcare Providers
At OlleyaHealth, we are advancing medical coding with cutting-edge machine learning. Our
platform is built to support the unique needs of U.S.-based providers by combining expert
knowledge of CPT and ICD coding with advanced AI models. We help healthcare
organizations reduce denials, improve compliance, and streamline operations—empowering
your team to focus on delivering high-quality care.
About the Role:
OlleyaHealth is developing AI-driven medical coding automation and is seeking a Senior
Medical Coding Specialist to lead audit and knowledge transfer efforts between clinical
coding and machine learning teams. This is a critical role for ensuring model accuracy, audit
integrity, and real-world compliance. Prior experience in ENT and Anesthesiology coding is
highly preferred.
Key Responsibilities:
• Audit and validate AI-generated CPT/ICD coding outputs for accuracy, completeness,
and alignment with payer guidelines.
• Provide subject matter expertise to the ML development team, helping explain
documentation requirements, billing logic, and workflow details—particularly within
the Athena EHR platform.
• Identify edge cases and guide the creation of test cases and labeled datasets for
model improvement.
• Perform quality assurance reviews and root-cause analysis of audit errors, offering
structured feedback for continuous learning.
• Lead knowledge-sharing efforts across teams and support documentation of best
practices.
Required Qualifications:
• 10+ years of experience in medical coding with deep knowledge of CPT and ICD-10
coding standards.
• Prior work with Athena EHR or similar outpatient-focused systems.
• Strong communication skills in English to collaborate with US and India-based teams.
• Attention to detail and a process-oriented mindset to support audit integrity and
training initiatives.
• Must be based in Mumbai or Bangalore, with flexibility for occasional onsite
meetings.
Preferred:
• Certified Professional Coder (CPC) or equivalent.
• Prior coding experience in ENT and Anesthesiology specialties.
• Background in coding audits, training, or automation support.

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