--- title: Medical Coding Consultant description: BMS FAMILY HEALTH AND WELLNESS CENTERS is hiring for the Medical Coding Consultant role in Brooklyn, NY. See the full description and apply. type: job url: https://www.foundrole.com/jobs/medical-coding-consultant-at-bms-family-health-and-wellness-centers-01a11ba0-6e17-7c11-82c1-932374e0b6a2 date: 2026-11-15T01:26:44Z og_description: Join BMS FAMILY HEALTH AND WELLNESS CENTERS as Medical Coding Consultant in Brooklyn, NY. Pays $25–$33 per hour. On-site role. og_image: https://www.foundrole.com/og/biejep.png breadcrumbs: - label: Home url: https://www.foundrole.com/ - label: Search url: https://www.foundrole.com/jobs --- | | | |---|---| | **Company** | BMS FAMILY HEALTH AND WELLNESS CENTERS | | **Location** | Brooklyn, NY | | **Salary** | $25/hr - $33/hr | | **Posted** | Oct 08, 2026 | ## Is this job real? **Ghost job check:** B · Low risk. Probably a real opening. ## Visa sponsorship - **H-1B:** No H-1B sponsorship on record for BMS FAMILY HEALTH AND WELLNESS CENTERS. - **E-Verify:** No E-Verify enrollment on record for BMS FAMILY HEALTH AND WELLNESS CENTERS. ## Pay for similar jobs Most similar jobs pay $60,000 – $91,000 a year (median $73,000). ## Description **Make an Impact on Coding Accuracy, AI Innovation & Revenue Cycle Performance** We’re looking for an experienced and highly motivated **Independent Medical Coding Consultant** to help strengthen our clinical coding, billing, and revenue cycle operations. This is an exciting opportunity for a coding subject matter expert who enjoys solving complex problems, improving processes, mentoring teams, and helping shape the future of AI-assisted medical coding. In this role, you’ll work at the intersection of **medical coding, revenue cycle operations, technology, and artificial intelligence**, partnering with internal billing teams and the XpertDox technology team to improve accuracy, efficiency, and claim performance. The ideal consultant is detail-oriented, collaborative, and energized by the opportunity to turn coding insights into measurable operational improvements. ## **About the Role** The Independent Medical Coding Consultant will provide subject matter expertise in **clinical coding validation, AI-assisted coding optimization through XpertDox, and billing workflow improvement within Athena**. You will serve as a key liaison between operational billing staff and the coding technology vendor, helping identify opportunities to improve coding accuracy, accelerate claims processing, reduce claim holds and coding-related denials, and strengthen overall revenue cycle performance.**Key Objectives** In this role, you will help us: - Validate corrected medical claims and coding recommendations generated through XpertDox. - Improve AI-assisted coding accuracy through feedback, testing, and training. - Build internal billing team expertise in coding validation and claim correction. - Reduce claim holds, missing slips, and coding-related claim denials. - Establish standardized coding validation, workflow, and quality assurance processes within Athena. - Improve billing efficiency and claim throughput while maintaining regulatory and coding compliance. ## **Key Responsibilities** ### **1. Coding Validation & Quality Assurance** You will provide expert review and oversight of coding accuracy by: - Reviewing and validating corrected claims prior to submission. - Auditing coding recommendations generated by XpertDox AI. - Verifying diagnosis, procedure, and modifier selection against provider documentation. - Identifying coding discrepancies and documentation deficiencies. - Providing corrective recommendations to billing and clinical teams. - Conducting random and targeted claim audits to measure coding accuracy and identify trends. **Key Deliverables:** - Coding validation reports - Monthly audit findings and trend reports - Coding error tracking log - Process improvement recommendations ### **2. XpertDox AI Optimization & Vendor Collaboration** Partner with XpertDox implementation and technical teams to continuously improve AI-assisted coding performance. Responsibilities include: - Reviewing AI-generated coding output. - Providing detailed feedback on coding accuracy and missed coding opportunities. - Identifying patterns contributing to coding errors or claim holds. - Participating in testing and validation of AI model enhancements. - Supporting the development and refinement of coding rules, logic, and validation protocols. - Translating real-world coding expertise into actionable recommendations for technology improvements. **Key Deliverables:** - AI performance assessment reports - Coding correction and feedback logs - User acceptance testing documentation - Recommendations for AI training and performance improvements ### **3. Billing Team Education & Knowledge Development** Help build a stronger, more confident billing team through practical education and ongoing coaching. You will: - Train billing personnel on coding review and validation procedures. - Educate staff on ICD-10, CPT, HCPCS, modifiers, and documentation requirements. - Develop job aids, training materials, and coding reference guides. - Conduct workflow coaching and ongoing competency development sessions. - Provide case-based learning using real-world claims examples. - Help establish consistent coding review practices across the team. **Key Deliverables:** - Training curriculum - Standard operating procedures (SOPs) - Billing reference guides - Monthly training sessions - Staff competency assessments ### **4. Athena Workflow Assessment & Optimization** Evaluate current revenue cycle workflows and identify opportunities to make billing processes more efficient and effective. You will: - Review existing Athena revenue cycle workflows. - Analyze the causes of claim holds and work queue backlogs. - Assess missing slip workflows and charge capture processes. - Develop standardized claim review and escalation procedures. - Create work queue management and prioritization processes. - Recommend automation opportunities and process redesign initiatives. - Develop practical solutions that improve workflow consistency and claim throughput. **Key Deliverables:** - Current-state workflow assessment - Future-state workflow design - Athena work queue optimization recommendations - Workflow maps and SOP documentation ### **5. Claims Hold Reduction Initiative** Take a data-driven approach to identifying and reducing preventable claim holds. You will: - Analyze historical claims hold data. - Categorize and identify root causes of claim holds. - Develop corrective action plans. - Establish quality checkpoints before claim submission. - Monitor hold rates and improvement metrics. - Report trends and recommendations to stakeholders. **Key Deliverables:** - Claims hold reduction strategy - Root cause analysis report - KPI dashboard - Monthly performance review ## **What We’re Looking For** We’re seeking a seasoned medical coding professional who brings both **technical coding expertise and a continuous-improvement mindset**. The ideal consultant will have: - Strong knowledge of medical coding, including **ICD-10, CPT, HCPCS, modifiers, and documentation requirements**. - Certification in Medical Coding and Billing - Demonstrated experience with coding validation, auditing, and claim correction. - Experience working within medical billing and revenue cycle environments. - Familiarity with **Athena** or similar electronic health record/revenue cycle platforms. - Interest or experience in **AI-assisted coding, coding automation, or healthcare technology**. - Strong analytical and problem-solving skills. - Excellent communication and collaboration skills. - Experience developing training materials, SOPs, workflows, or staff education programs. - The ability to translate complex coding requirements into practical guidance for billing and clinical teams. - A strong understanding of healthcare regulatory and coding compliance requirements. - The ability to work independently while collaborating effectively with internal teams and external technology partners. ## **Why This Opportunity Matters** This role goes beyond reviewing codes. You’ll have the opportunity to **shape how people, processes, and technology work together to improve the entire claims lifecycle**. Your expertise will directly contribute to: - More accurate coding - Fewer preventable claim holds and denials - Faster claims processing - Stronger billing team capabilities - Better use of AI-assisted coding technology - More consistent revenue cycle workflows - Improved operational efficiency If you’re a medical coding expert who enjoys **solving problems, improving systems, coaching teams, and exploring how technology can transform healthcare operations**, we’d love to hear from you. ## Skills - Backlogs - Performance Management - Performance Evaluation - Problem Solving - Medical Billing - Key Performance Indicators (KPIs) - Automation - Charge Capture - Root Cause Analysis - Prioritization - Artificial Intelligence - Medical Coding - Process Improvement - Curriculum Development - AI Training - Collaboration - Billing - Job Aids Development - Workflow Design - Icd-10 Coding - Healthcare Common Procedure Coding System HCPCS - Auditing - Amazon Athena - Corrective And Preventive Action (Capa) - Claims Processing - Standard Operating Procedures (Sop) - Ability to Work Independently - Denials Management - Revenue Cycle Management - User Acceptance Testing (Uat) - Communication - Coaching - Electronic Health Records (Ehr) - Validation Protocols - Quality Assurance Methodologies - Regulatory Compliance ## Related - [Healthcare & Medicine jobs](https://www.foundrole.com/careers/healthcare-and-medicine?utm_source=ai_markdown)- [Health Information & Medical Coding jobs](https://www.foundrole.com/careers/healthcare-and-medicine/health-information-and-medical-coding?utm_source=ai_markdown)- [Medical Coder jobs](https://www.foundrole.com/careers/healthcare-and-medicine/health-information-and-medical-coding/medical-coder?utm_source=ai_markdown)- [Browse all companies](https://www.foundrole.com/companies?utm_source=ai_markdown) ## Explore this job market - [Hospitals and Health Care](https://www.foundrole.com/sectors/healthcare/hospitals-and-health-care?utm_source=ai_markdown) — 385445 jobs - [New York](https://www.foundrole.com/locations/us/new-york?utm_source=ai_markdown) — 150100 jobs - [Brooklyn, NY](https://www.foundrole.com/locations/us/new-york/brooklyn?utm_source=ai_markdown) — 5464 jobs ## Related pages - [Hospitals and Health Care](https://www.foundrole.com/sectors/healthcare/hospitals-and-health-care?utm_source=ai_markdown) — 385445 jobs - [New York](https://www.foundrole.com/locations/us/new-york?utm_source=ai_markdown) — 150100 jobs - [Brooklyn, NY](https://www.foundrole.com/locations/us/new-york/brooklyn?utm_source=ai_markdown) — 5464 jobs ## Browse - [Companies](https://www.foundrole.com/companies?utm_source=ai_markdown) - [Jobs by country](https://www.foundrole.com/locations?utm_source=ai_markdown) - [Jobs in the United States by state and city](https://www.foundrole.com/locations/us?utm_source=ai_markdown) - [H1B sponsors by location](https://www.foundrole.com/h1b-sponsors?utm_source=ai_markdown) - [H1B salaries](https://www.foundrole.com/h1b-salaries?utm_source=ai_markdown) - [Sectors and industries](https://www.foundrole.com/sectors?utm_source=ai_markdown) - [Jobs by career field](https://www.foundrole.com/careers?utm_source=ai_markdown) - [Latest jobs](https://www.foundrole.com/jobs/latest?utm_source=ai_markdown)