CodaMetrix

• Serve as the internal and external Subject Matter Expert (SME) on medical coding and billing across assigned service lines. • Review and validate model-generated CPT, ICD-10-CM, HCPCS, and E&M codes • Perform high-quality coding and auditing on inpatient, outpatient, ED, or pro-fee encounters (depending on specialty) • Ensure documentation fully supports coding decisions in alignment with AMA, CMS, and payer guidelines • Identify missed codes, incorrect E/M leveling, modifier errors, and insufficient documentation • Analyze and document customers’ coding practices and workflows to facilitate optimal use of the CodaMetrix product. • Identify and share Codametrix’s best practices for coding automation and workflow improvements with the customer. • Present audit results to customer stakeholders and facilitate sign-off for go-live milestones. • Assist manager with Coding Quality Assessment (CQA) projects, including work assignments, training, and quality assurance for offshore coding staff. • Leverage CodaMetrix coding standards to drive world-class coding quality and consistency. • Work with product and engineering to provide precise, consistent feedback on model training and data annotation • Continuously improve evaluation and training materials on coding and billing to colleagues and customers. • Share knowledge throughout CodaMetrix to build internal competencies and champion continuous improvement initiatives. • Provide expert guidance on coding and billing questions to support Machine Learning and Product teams. • Proactively stay up to date with changes in medical coding and billing by maintaining relevant certifications and participating in ongoing education. • Uphold all legal and ethical requirements, ensuring accuracy, confidentiality, and compliance in all coding and audit activities. • Help explain model decisions, error analyses, and coding rationales to clients • Support customer success and implementation teams in understanding coding outputs • Prepare clear written summaries of coding patterns, documentation issues, or model behavior • Collaborate with cross-functional teams—such as Data Science, Product, and Customer Success—to address client needs and optimize results.