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Careers

  • Quality Assurance Medical Coding Expert – Ophthalmology
    Job Description: Medical Coding Expert at Med Claims Compliance Corporation Position: Medical Coding Expert – Ophthalmology Department: Quality Assurance Reports To: Director of Client Service Operations About Us: Med Claims Compliance Corporation is the only company that combines Human-in-the-Loop Machine Learning (HITL-ML) with Ambient Speech Interpretation to deliver 100% accurate medical records without AI hallucinations. This unique approach allows physicians to focus solely on patient care while ensuring top-tier payor and quality compliance, increasing provider productivity, and enhancing the overall quality of care. Position Summary: We are seeking a highly skilled and experienced Medical Coding Expert to join our innovative team. This role is integral to our mission of advancing medical coding AI practices. The ideal candidate will possess in-depth knowledge of medical coding, healthcare compliance, and AI-driven coding systems. They will collaborate with cross-functional teams to refine coding processes, enhance AI accuracy, and ensure adherence to industry regulations. Key Responsibilities: 1. Medical Coding Expertise Analyze and code complex patient records using standardized coding systems (ICD-10-CM, CPT, HCPCS) for outpatient and/or inpatient encounters. Conduct quality assurance reviews to ensure coding accuracy and consistency. Provide insights to enhance AI-based coding algorithms, identifying patterns and refining processes. 2. AI and Technology Integration Collaborate with AI development teams to train and improve coding algorithms. Test and validate MCC’s autonomous medical coding platform to ensure its compliance with guidelines and evolving medical practices. Offer feedback for optimizing the integration of AI software with Electronic Health Records (EHR) systems. 3. Compliance and Regulation Adherence Maintain up-to-date knowledge of healthcare laws and regulations (e.g., AMA, HCPCS, HIPAA, CMS coding guidelines). Ensure coding processes align with regulatory requirements and organizational standards. Support audits by providing detailed documentation and ensuring compliance readiness. 4. Collaboration and Training Work with healthcare providers, billing teams, and compliance officers to resolve coding issues and enhance workflows. Lead training sessions for staff on coding updates, AI tools, and best practices. Act as a subject matter expert, contributing to white papers, reports, and industry presentations. Qualifications: Certification: CPC, COC, CCS, CPMA or equivalent. Experience: Minimum 5 years of hands-on medical coding experience, including familiarity with AI-driven tools or EHR systems. 3+ years Ophthalmology coding experience; specialty certification preferred. Technical Skills: Proficiency in coding systems (ICD-10-CM, ICD-10-PCS, CPT, HCPCS, RxNORM). Understanding of AI principles in medical coding, including machine learning applications. Experience with medical coding software and EHR platforms. Soft Skills: o Analytical mindset with strong problem-solving abilities. Excellent communication and collaboration skills. Detail-oriented with a commitment to accuracy and compliance. Preferred Qualifications: Experience in autonomous coding systems or medical coding AI implementation. Familiarity with coding audits and compliance processes. Background in data analytics or reporting tools.
  • Quality Assurance Medical Coding Expert – Pain Management
    Job Description: Medical Coding Expert at Med Claims Compliance Corporation Position: Medical Coding Expert – Pain Management Department: Quality Assurance Reports To: Director of Client Service Operations About Us: Med Claims Compliance Corporation is the only company that combines Human-in-the-Loop Machine Learning (HITL-ML) with Ambient Speech Interpretation to deliver 100% accurate medical records without AI hallucinations. This unique approach allows physicians to focus solely on patient care while ensuring top-tier payor and quality compliance, increasing provider productivity, and enhancing the overall quality of care. Position Summary: We are seeking a highly skilled and experienced Medical Coding Expert to join our innovative team. This role is integral to our mission of advancing medical coding AI practices. The ideal candidate will possess in-depth knowledge of medical coding, healthcare compliance, and AI-driven coding systems. They will collaborate with cross-functional teams to refine coding processes, enhance AI accuracy, and ensure adherence to industry regulations. Key Responsibilities: 1. Medical Coding Expertise Analyze and code complex patient records using standardized coding systems (ICD-10-CM, CPT, HCPCS) for outpatient and/or inpatient encounters. Conduct quality assurance reviews to ensure coding accuracy and consistency. Provide insights to enhance AI-based coding algorithms, identifying patterns and refining processes. 2. AI and Technology Integration Collaborate with AI development teams to train and improve coding algorithms. Test and validate MCC’s autonomous medical coding platform to ensure its compliance with guidelines and evolving medical practices. Offer feedback for optimizing the integration of AI software with Electronic Health Records (EHR) systems. 3. Compliance and Regulation Adherence Maintain up-to-date knowledge of healthcare laws and regulations (e.g., AMA, HCPCS, HIPAA, CMS coding guidelines). Ensure coding processes align with regulatory requirements and organizational standards. Support audits by providing detailed documentation and ensuring compliance readiness. 4. Collaboration and Training Work with healthcare providers, billing teams, and compliance officers to resolve coding issues and enhance workflows. Lead training sessions for staff on coding updates, AI tools, and best practices. Act as a subject matter expert, contributing to white papers, reports, and industry presentations. Qualifications: Certification: CPC, COC, CCS, CPMA or equivalent. Experience: Minimum 5 years of hands-on medical coding experience, including familiarity with AI-driven tools or EHR systems. 3+ years Pain Management coding experience; specialty certification preferred. Technical Skills: Proficiency in coding systems (ICD-10-CM, ICD-10-PCS, CPT, HCPCS, RxNORM). Understanding of AI principles in medical coding, including machine learning applications. Experience with medical coding software and EHR platforms. Soft Skills: Analytical mindset with strong problem-solving abilities. Excellent communication and collaboration skills. Detail-oriented with a commitment to accuracy and compliance. Preferred Qualifications: Experience in autonomous coding systems or medical coding AI implementation. Familiarity with coding audits and compliance processes. Background in data analytics or reporting tools.
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MCC provides Health Information Management and computer assisted clinical documentation improvement services that pair with innovative technology with leverage Artificial Intelligence (AI), Machine Learning (ML), and Robotic Process Automation (RPA) to code claims and to analyze and interpret clinical documentation.  Through our proprietary technology and service model, we provide multiple solutions from ambient speech interpretation to complete revenue cycle management. Our goal at MCC is provide a computer free data entry environment to increase patient engagement, improve coding accuracy, reduce provider burnout, and maximize claim revenue and turnaround time.

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6500 River Place Blvd Bldg 4
Ste 350, Austin, TX 78730

CAGE
 

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