Senior Medical Coder

Position: Senior Medical Coding Specialist – AI/ML Audit & Training (Athena ExperiencePreferred)Company: OlleyaHealth | Mumbai or Bangalore (Fully Remote – Occasional Onsite Meetings)Schedule: Full-Time | English Fluency Required | CST OverlapAbout the Organization:AI-Driven Coding Automation for U.S. Healthcare ProvidersAt OlleyaHealth, we are advancing medical coding with cutting-edge machine learning. Ourplatform is built to support the unique needs of U.S.-based providers by combining expertknowledge of CPT and ICD coding with advanced AI models. We help healthcareorganizations reduce denials, improve compliance, and streamline operations—empoweringyour team to focus on delivering high-quality care.About the Role:OlleyaHealth is developing AI-driven medical coding automation and is seeking a SeniorMedical Coding Specialist to lead audit and knowledge transfer efforts between clinicalcoding and machine learning teams. This is a critical role for ensuring model accuracy, auditintegrity, and real-world compliance. Prior experience in ENT and Anesthesiology coding ishighly 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 explaindocumentation requirements, billing logic, and workflow details—particularly withinthe Athena EHR platform.• Identify edge cases and guide the creation of test cases and labeled datasets formodel improvement.• Perform quality assurance reviews and root-cause analysis of audit errors, offeringstructured feedback for continuous learning.• Lead knowledge-sharing efforts across teams and support documentation of bestpractices.Required Qualifications:• 10+ years of experience in medical coding with deep knowledge of CPT and ICD-10coding 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 andtraining initiatives.• Must be based in Mumbai or Bangalore, with flexibility for occasional onsitemeetings.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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