Senior Medical Coder

7 days ago

bangalore, India OlleyaHealth Pvt Ltd Full time

Position: Senior Medical Coding Specialist – AI/ML Audit & Training (Athena Experience Preferred) Company: OlleyaHealth | 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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