Medical Coding Strategy Consultant

Job Description

Who We Are

We’re a boutique strategy firm working with early-stage health tech startups pushing the boundaries of traditional care models, care funding, and digital health infrastructure. Our clients often operate in reimbursement gray zones with unclear CPT codes, undefined coverage pathways, and business models that challenge legacy care definitions.

About the Role

We are seeking a medical billing and coding expert who thrives at the intersection of strategy, compliance, and innovation. You’ll support high-growth startups and internal GTM teams by evaluating the reimbursement readiness of novel care delivery models, helping inform product design decisions, and codifying scalable strategies for commercialization. This is not a heads-down production coding role. This is a strategic advisory position for a coding leader who wants to shape the future of healthcare funding.

Key Responsibilities

• Analyze whether existing CPT, HCPCS, ICD-10, or revenue codes could apply to a client's service, software, or intervention, even tangentially.
• Conduct landscape scans for similar services, identify precedent coding models, and advise on likely payer positions.
• Highlight gaps, ambiguities, or limitations in current code sets that may impact revenue and scalability.
• Co-develop coding and billing playbooks for startup clients including documentation needs, coding narratives, and modifier usage.
• Advise on whether and how product design, clinical workflow, or documentation must evolve to align with existing reimbursement rules.
• Flag when novel code applications, demonstration projects, or direct-to-employer strategies may be more feasible than traditional coverage.
• Work with former health plan execs, care model designers, and policy strategists to align coding with broader go-to-market (GTM) strategy.
• Contribute to investor and partner-facing artifacts with succinct, clear coding rationale and path-to-revenue overviews.

Ideal Candidate

Bonus Points

Why Join Us?

To Apply :

Send your resume, relevant credentials, and a short note (or case study!) showing how you've helped a new care model navigate the reimbursement maze.