Senior Medical Coding SME: AI-Augmented, Autonomous Coding

R Systems; United States; On-site; USD 100,000 - 140,000; Full time

Job summary

R Systems is seeking a Medical Coding Expert to work on autonomous AI-assisted coding platforms across complex clinical scenarios, including Surgery, Anesthesia, Orthopedics, and Inpatient coding. You will review documentation, ensure compliance, and independently assign accurate codes with an eye for gaps and improvements.

Ideal candidates bring deep ICD-10-CM/PCS, CPT/HCPCS, DRG knowledge and hands-on experience with AI-enabled coding tools, testing and validating AI recommendations, and

Qualifications

• Deep knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, DRG and modifiers.
• Ability to review clinical documentation and assign correct codes independently.
• Experience with autonomous/AI-assisted medical coding platforms and evaluating AI-generated recommendations.
• Ability to identify gaps, missing information, and opportunities to improve coding accuracy.

Responsibilities

• Test, validate, and provide feedback on autonomous coding solutions (e.g., AI-driven platforms).
• Review complex clinical documentation across Surgery, Anesthesia, Orthopedics, and Inpatient coding scenarios.
• Ensure coding compliance and documentation guidelines are met across codes and procedures.

Skills

Medical coding

Independent coding

AI-assisted coding evaluation

Clinical documentation review

Tools

Autonomous coding platforms

AI-assisted coding tools

Job description

R Systems is seeking a Medical Coding Expert to work on autonomous AI-assisted coding platforms across complex clinical scenarios, including Surgery, Anesthesia, Orthopedics, and Inpatient coding. You will review documentation, ensure compliance, and independently assign accurate codes with an eye for gaps and improvements.

Ideal candidates bring deep ICD-10-CM/PCS, CPT/HCPCS, DRG knowledge and hands-on experience with AI-enabled coding tools, testing and validating AI recommendations, and