
Medical Coding Specialist
2 weeks ago
We are seeking a skilled Medical Coding Auditor to join our team on a full-time basis. Your role will be crucial in helping us optimize our flagship Medical Coding AI product.
As a key member of our Healthcare AI team, you will focus on ensuring the accuracy and reliability of our flagship Medical Coding AI solution. In the early stages, your primary responsibility will be conducting thorough Quality Assurance audits of the AI's coding output, collaborating closely with our product and data teams to improve model performance. After approximately 6 months, you will transition into a customer-facing role, serving as a trusted advisor to our healthcare clinic users. By leveraging your deep medical coding expertise, you will guide clinics on best practices for integrating and optimizing our AI solution, ensuring a smooth implementation that meets their unique workflow needs.
Key Responsibilities:
- Conduct comprehensive QA Audits and review AI-generated medical codes for accuracy, compliance, and consistency with current regulations (ICD-10, CPT, HCPCS) and payer guidelines.
- Collaborate with product teams and provide detailed feedback and recommendations to developers and data scientists, helping refine the AI's logic and improve coding outcomes.
- Optimize coding processes to maximize customer revenue.
- Identify trends, errors, or gaps in AI-generated codes and develop strategies to enhance overall coding workflows, ensuring continuous improvement.
- Transition into a customer-facing Customer Success role, onboarding and training healthcare clinics on the proper usage of our AI solution, addressing their concerns, and customizing workflows to fit their operational needs.
- Build and maintain client relationships and act as the main point of contact for clinic staff, ensuring high satisfaction, resolving coding-related questions, and identifying opportunities for expansion or new features.
- Collaborate with internal teams (Sales, Support, Product, and Leadership) to share customer feedback, recommend product enhancements, and align on strategic objectives.
- Stay current with industry standards and monitor changes in coding regulations and industry best practices, relaying insights to both internal teams and customers.
- Actively participate in video calls, demonstrating excellent communication skills and the ability to convey complex ideas effectively.
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