обновлено 1 месяц назад
Medical Content Analyst, Automation (AI)
Вакансия из Hirify Global, списка международных tech-компанийДля мэтча и отклика нужен Plus
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Medical Content Analyst, Automation (AI): Reviewing and validating AI-generated CPT, HCPCS, ICD-10-CM, and claims data extracts with an accent on medical coding accuracy, billing guidelines, and healthcare payer requirements. Focus on identifying AI anomalies, improving model performance through feedback, and developing coding guidelines for AI-assisted workflows.
Location: Manila, Philippines
Company
provides healthcare decision intelligence that combines responsible AI with clinical, payment, regulatory, and policy expertise for real-time claims workflows.
What you will do
- Review and validate AI-generated CPT, HCPCS, ICD-10-CM, and other claims data elements.
- Verify coding and billing guidelines and confirm the accuracy of AI-generated data extracts.
- Identify anomalies and defects in AI data outputs and provide timely feedback to improve model performance.
- Monitor medical coding and billing regulatory changes and contribute to continuous improvement of AI tools.
- Participate in developing coding guidelines and validating criteria for policy and rule suitability.
- Serve as a medical coding subject matter expert with clinical, technical, and product stakeholders.
Requirements
- Bachelor’s degree in health information management, nursing, or another healthcare-related field.
- Active AAPC CPC, AHIMA CCS-P, or AHIMA CCS certification.
- At least 5 years of relevant healthcare experience, including 3 years in medical coding, chart review, auditing, or abstraction.
- Proficiency with CPT, ICD-10-CM, and HCPCS coding conventions, including translating clinical documentation into appropriate codes.
- Understanding of U.S. health insurance payers, including Commercial, Medicare, Medicaid, and third-party claims processing through paper and EDI workflows.
- Strong knowledge of medical terminology and human anatomy, plus familiarity with computer-assisted coding or NLP platforms and Microsoft applications.
Nice to have
- Master’s degree in business or a healthcare-related field.
- ClaimsXten experience or experience with AI tools in a professional environment.
- Previous experience at CMS or a health insurance plan.
- Experience communicating complex technical information across written, verbal, and visual formats.
- Experience working in agile, fast-paced, collaborative environments or participating in AI training programs.
Culture & Benefits
- Full-time role in a collaborative, cross-functional environment.
- Opportunity to contribute to AI-assisted healthcare claims and coding workflows.
- Work includes collaboration with clinical, technical, and product stakeholders.
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