Medical Auditor (AI)

TL;DR

Medical Auditor (AI): Reviewing, evaluating, and refining medical coding and audit-related content to improve next-generation AI systems with an accent on outpatient professional fee coding and compliance. Focus on identifying coding trends, documenting audit results for AI training, and analyzing complex compliance cases in academic medical center environments.

Location: Remote

Company

hirify.global is providing specialized expertise for an innovative healthcare AI project.

What you will do

• Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy, compliance, and quality.
• Identify coding trends, gaps, risks, and opportunities for improvement.
• Evaluate audit findings using academic medical center protocols and industry best practices.
• Document audit results and provide clear written explanations to support AI training and development.
• Collaborate with project teams to analyze ambiguous coding and compliance cases.
• Support audit program management initiatives using healthcare coding and compliance expertise.

Requirements

• Expertise in outpatient professional fee coding and auditing.
• Professional experience within academic medical center environments.
• Strong knowledge of medical coding guidelines and compliance review.
• Proficiency in documentation analysis and quality assurance.
• Excellent written and verbal communication skills.

Nice to have

• 10+ years of experience in medical coding, specifically outpatient professional fee coding and auditing.
• Direct experience managing audits within academic medical centers.
• Experience managing comprehensive audit programs.

Culture & Benefits

• Opportunity to contribute to a cutting-edge, innovative healthcare AI project.
• Remote work environment.
• Role focused on leveraging deep domain expertise to shape next-generation technology.