01Overview
Act as the clinical and coding interface between our AI models and real-world outcomes. In this vital role, you will:
Audit and validate ML-generated CPT and ICD code predictions, identifying and correcting discrepancies
Provide coding insights and annotations to guide model training and continuous performance tuning
Collaborate with the engineering team to improve model outputs, rule sets, and exception logic
Review medical notes, encounter documentation, and clinical language to ensure coding aligns with payer rules and E/M guidelines
Qualifications:
10+ years of experience in U.S. medical coding, with strong expertise in outpatient E/M services
AAPC or AHIMA certification required (e.g., CPC)
Experience with AI/ML-supported platforms or auditing automated coding systems a strong plus
Familiarity with CMS guidelines, HCC coding, and multi-specialty documentation
Strong attention to detail and ability to communicate coding logic clearly
Disclaimer : This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying. .
