AI-Driven Medical Coding Analyst

Lyric - Clarity in motion.; Manila; On-site; PHP 446,400 - 669,600; Full time

Job summary

A healthcare technology company is looking for a healthcare coder specializing in AI-driven solutions. The role involves reviewing and validating AI-generated claims data while ensuring accuracy based on coding guidelines. Candidates should have a bachelor's degree in health information management or a related field, alongside relevant certifications and a minimum of 5 years in healthcare. The position offers opportunities for innovation in a collaborative and fast-paced environment.

Qualifications

• Minimum of 5 years of relevant healthcare experience.
• At least 3 years in medical coding, chart review, or auditing.
• Understanding of US health insurance payers.

Responsibilities

• Review and validate AI generated claims data.
• Verify coding guidelines and confirm accuracy.
• Identify anomalies in AI data extracts.

Skills

Proficiency in CPT coding

Proficiency in ICD-10-CM coding

Proficiency in HCPCS coding

Strong analytical skills

Familiarity with AI tools

Education

Bachelor’s degree in health information management or related field

AAPC Certified Professional Coders (CPC) certification

AHIMA Certified Coding Specialist-Physician (CCS-P)

AHIMA Certified Coding Specialist (CCS)

Tools

Microsoft applications

Computer-Assisted Coding (CAC)

Natural Language Processing (NLP)

Job description

A healthcare technology company is looking for a healthcare coder specializing in AI-driven solutions. The role involves reviewing and validating AI-generated claims data while ensuring accuracy based on coding guidelines. Candidates should have a bachelor's degree in health information management or a related field, alongside relevant certifications and a minimum of 5 years in healthcare. The position offers opportunities for innovation in a collaborative and fast-paced environment.