Medical Auditor, Remote Healthcare AI
Overview
You will audit outpatient professional fee coding for a healthcare AI project, ensuring accuracy and compliance at scale. Your expertise in academic medical center protocols drives AI training improvements. You join a collaborative team of coding experts, refining next-generation systems. No AI experience needed, only your clinical coding mastery.
What You'll Do6
- 1Audit outpatient professional fee coding records for accuracy and compliance with ICD-10-CM and CPT guidelines.
- 2Identify coding trends, gaps, and risks, and document findings with clear written explanations for AI training.
- 3Evaluate audit outcomes using academic medical center protocols and industry best practices.
- 4Provide expert feedback on complex coding scenarios, including modifiers and medical necessity.
- 5Collaborate with project teams to resolve ambiguous coding and compliance cases.
- 6Support audit program management initiatives, leveraging healthcare coding expertise to refine AI models.
Requirements6
- 110+ years in medical coding with focus on outpatient professional fee coding and auditing.
- 2Strong experience conducting or managing audits in academic medical center environments.
- 3Deep understanding of ICD-10-CM, CPT, and modifier guidelines.
- 4Proven ability to identify issues and recommend actionable improvements.
- 5Excellent written and verbal communication skills, able to explain complex findings clearly.
- 6Experience managing audit programs, navigating academic healthcare challenges.
Salary Insight
$104 - $146k per year
Location
Required Skills
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