Medical Billing and Coding

• Manage day-to-day operations of the Medical Coding Evaluation team supporting Veradigm's enterprise coding capability
• Review AI agent outputs against clinical documentation to confirm codes are supported, billable, and accurate
• Develop and maintain the scoring guide with clinical experts
• Manage reviewer assignments, priorities, capacity, and throughput
• Adjudicate dual-review disputes and document rationale
• Track inter-reviewer agreement and refine review guidance
• Run calibration rounds and validate scaling readiness
• Report clinical metrics, accuracy, claims inclusion, and risk impact to leadership, product teams, and clients
• Plan specialty coverage beginning with internal medicine
• Expand evaluation scope into chart preparation and clinical note quality
• Validate automated scoring through sampling and report divergences from expert review
• Coordinate design-partner evaluations
• Enforce approved data access boundaries, authorized data tiers, and compliant review tools
• Build and develop a distributed team of certified coders

Medical Billing and Coding jobs in India

Medical Coding Audit Manager