Medical Coding Consultant

The Independent Medical Coding Consultant will provide subject matter expertise in clinical coding validation, AI-assisted coding optimization through XpertDox, and billing workflow improvement within Athena. The ideal consultant is detail-oriented, collaborative, and energized by the opportunity to turn coding insights into measurable operational improvements.

What You Will Do

In this role, you will help us validate corrected medical claims and coding recommendations generated through XpertDox, improve AI-assisted coding accuracy, build internal billing team expertise in coding validation and claim correction, reduce claim holds, missing slips, and coding-related claim denials, and establish standardized coding validation, workflow, and quality assurance processes within Athena.

Why It Might Be a Fit

This role goes beyond reviewing codes. You’ll have the opportunity to shape how people, processes, and technology work together to improve the entire claims lifecycle. Your expertise will directly contribute to more accurate coding, fewer preventable claim holds and denials, faster claims processing, stronger billing team capabilities, better use of AI-assisted coding technology, more consistent revenue cycle workflows, and improved operational efficiency.

Requirements

• Strong knowledge of medical coding, including ICD-10, CPT, HCPCS, modifiers, and documentation requirements.
• Demonstrated experience with coding validation, auditing, and claim correction.
• Experience working within medical billing and revenue cycle environments.
• Familiarity with Athena or similar electronic health record/revenue cycle platforms.
• Interest or experience in AI-assisted coding, coding automation, or healthcare technology.
• Strong analytical and problem-solving skills.
• Excellent communication and collaboration skills.
• Experience developing training materials, SOPs, workflows, or staff education programs.
• The ability to translate complex coding requirements into practical guidance for billing and clinical teams.
• A strong understanding of healthcare regulatory and coding compliance requirements.
• The ability to work independently while collaborating effectively with internal teams and external technology partners.

Benefits

• Dental insurance
• Vision insurance
• Health insurance
• 401(k) or 403(b) plan
• Paid time off
• Paid holidays