CPT Senior Coder

Clarify AI; Stati Uniti; Ibrido; USD 90.000 - 130.000; Tempo pieno

Descrizione del lavoro

Clarify AI is seeking a CPT Senior Coder to lead coding validation for AI-assisted medical billing systems in the United States. You will refine CPT/ICD code assignment, review complex cases, and ensure alignment with current coding guidelines while collaborating with data scientists to improve AI-driven processes.

Responsibilities include training ML models for coding accuracy, developing coding guidelines, and staying current with CPT/ICD updates to maintain compliance across the platform.

Competenze

• Certified Professional Coder (CPC) or equivalent certification.
• 5+ years of experience in medical coding with a focus on CPT.
• Experience with electronic health records (EHR) and medical billing systems.
• Strong understanding of medical terminology and procedures.
• Ability to analyze coding patterns and identify opportunities for improvement and optimization.
• Familiarity with AI/ML concepts in healthcare applications, particularly around coding and billing.

Mansioni

• Lead coding validation for AI-assisted medical billing systems, ensuring accuracy and compliance with coding standards.
• Train and refine machine learning models to improve the assignment of CPT/ICD codes, leveraging your coding expertise.
• Review complex cases where AI models require human expertise for accurate coding and billing.
• Develop and maintain coding guidelines and documentation to ensure seamless integration of AI and human coding efforts.
• Collaborate with data scientists to continuously improve coding accuracy, model performance, and AI-assisted billing outcomes.
• Stay up-to-date with CPT/ICD updates and integrate those changes into the AI system to maintain compliance.

Conoscenze

Certified Professional Coder

CPT coding experience

EHR experience

Medical terminology knowledge

AI/ML in healthcare

Code pattern analysis

Strumenti

EHR systems

Medical billing software

AI/ML concepts in healthcare

Descrizione del lavoro

We are looking for a CPT Senior Coder to lead the coding validation for our AI-assisted medical billing systems. In this role, you will be responsible for refining machine learning models for CPT/ICD code assignment, reviewing complex cases where human expertise is needed, and ensuring that our AI systems maintain high coding accuracy. You'll collaborate closely with data scientists to enhance AI-driven processes and ensure that our systems comply with the latest coding guidelines.

• Lead coding validation for AI-assisted medical billing systems, ensuring accuracy and compliance with coding standards.
• Train and refine machine learning models to improve the assignment of CPT/ICD codes, leveraging your coding expertise.
• Review complex cases where AI models require human expertise for accurate coding and billing.
• Develop and maintain coding guidelines and documentation to ensure seamless integration of AI and human coding efforts.
• Collaborate with data scientists to continuously improve coding accuracy, model performance, and AI-assisted billing outcomes.
• Stay up-to-date with CPT/ICD updates and integrate those changes into the AI system to maintain compliance.

Qualifications & Skills

• Certified Professional Coder (CPC) or equivalent certification.
• 5+ years of experience in medical coding with a focus on CPT.
• Experience with electronic health records (EHR) and medical billing systems.
• Strong understanding of medical terminology and procedures.
• Ability to analyze coding patterns and identify opportunities for improvement and optimization.
• Familiarity with AI/ML concepts in healthcare applications, particularly around coding and billing.

Location & Work Authorization

This is a U.S.-based role. Candidates must be located in the United States and authorized to work in the U.S. without current or future employment sponsorship.

Interested in this role?

Tell us about your background and why you'd like to join Clarify AI.