updated 2 months ago
Medical Auditor (Healthcare AI)
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Job description
Text:
TL;DR
Medical Auditor (Healthcare AI): Reviewing and auditing outpatient professional fee coding records for accuracy, compliance, and quality with an accent on academic medical center protocols, coding guidelines, and documentation analysis. Focus on identifying coding risks and trends, explaining complex audit findings, and providing expert feedback to support AI training and development.
Location: Remote
Company
is supporting an innovative healthcare AI project focused on improving next-generation AI systems.
What you will do
- Review and audit outpatient professional fee coding records for accuracy, compliance, and quality.
- Identify coding trends, gaps, risks, and improvement opportunities.
- Evaluate audit findings against academic medical center protocols and industry best practices.
- Document audit results and provide clear written explanations for AI training and development.
- Provide expert feedback on complex coding, documentation, and auditing scenarios.
- Collaborate with project teams on ambiguous coding and compliance cases and support audit program management initiatives.
Requirements
- Strong experience in outpatient professional fee coding and coding auditing.
- Experience in an academic medical center environment.
- Knowledge of medical coding guidelines, compliance review, documentation analysis, and audit methodologies.
- Ability to identify issues and provide actionable recommendations.
- Strong written and verbal communication skills.
- Preferred: 10+ years of medical coding experience, focused on outpatient professional fee coding and auditing.
Culture & Benefits
- Remote contractor opportunity.
- Contribute healthcare expertise to an innovative AI training and development project.
- No prior AI experience is required.
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