Medical Coding Auditor-1

About the role

Applicants will focus on ensuring accuracy in AI-generated medical codes, chart preparation, and drafting clinical notes. You will review the outputs of AI agents and compare to clinical documentation, to ensure that codes are supported, billable, and accurate. Coders will also shape the guidelines we use and help define clinical metrics we report to customers.

What you'll do

• Review AI-generated ICD-10-CM, CPT, and HCPCS code sets against the clinical documentation, recording for each code whether the note supports it and where
• Evaluate E/M level selection, including correct setting and visit type, against documentation and applicable CMS guidelines
• Apply and improve the scoring guide consistently from the first case to the hundredth
• Participate in dual review, independently scoring the same encounter as another reviewer and working through disagreements to a documented resolution
• Flag cases where the scoring guide is ambiguous or silent rather than resolving them quietly

What you need

• 1–3 years in pharma & medical sales
• Medical coding
• Documentation
• Machine learning
• Any graduate