Manages the day-to-day operations of the Medical Coding Evaluation team supporting Veradigm's enterprise coding capability. The team reviews the outputs of AI agents against clinical documentation to confirm that codes are supported, billable, and accurate, and its judgments establish the clinical ground truth used to measure how our AI agents perform.

Owns the scoring guide that defines how agent output is judged, incorporating input from the reviewers who apply it. Adjudicates disagreements between reviewers, measures and reports inter-reviewer agreement, and defines the clinical metrics reported to customers, so that accuracy claims made commercially and under federal transparency requirements are defensible. Builds and develops a distributed team of certified coders, plans capacity across specialties, and extends the team's scope across coding, chart preparation, and clinical note quality as the AI roadmap expands.

Essential Functions / Major Job Responsibilities

• Develops and maintains the scoring guide with clinical experts, updating it as specialties and agent behaviors expand.




• Manages daily operations for the review team, including assignments, priorities, capacity, and throughput.
• Adjudicates dual-review disputes, documenting rationale and identifying reviewer error versus guide ambiguity.
• Tracks inter-reviewer agreement, using low agreement to refine guidance rather than penalize staff.
• Runs calibration rounds across reviewers to set throughput benchmarks and validate scaling readiness.
• Reports clinical metrics, accuracy, claims inclusion, and risk impact, to leadership, product teams, and clients.
• Plans specialty coverage, starting with internal medicine and expanding as scope broadens.
• Expands scope into chart prep and note quality, establishing evaluation criteria for subjective tasks.
• Validates automated scoring through sampling and reports divergences between automated and expert review.
• Coordinates design-partner evaluations to

📌 Medical Coding Audit Manager (Pune)
🏢 Veradigm®
📍 Pune