Data Entry Operator

Aston Carter; United States; Remote; USD 60,000 - 100,000; Full time

Job summary

Aston Carter is seeking experienced healthcare operations professionals to train and improve AI systems that support healthcare administration. You will evaluate AI outputs against industry standards in coding, billing, revenue cycle, documentation integrity, and payer operations.

This fully remote role offers flexible scheduling for professionals who enjoy problem-solving, reviewing documentation, and applying regulations to ensure accuracy in complex healthcare workflows.

Qualifications

• 2+ years of hands-on healthcare operations experience preferred.
• Bachelor's degree in progress or completed, or equivalent industry experience.
• Strong knowledge of healthcare documentation, coding, billing, or revenue cycle processes.
• Experience interpreting regulations, coding guidelines, payer policies, and compliance requirements.
• Excellent written communication and analytical skills.
• Ability to identify inaccuracies and explain decisions using industry standards and supporting documentation.
• Strong attention to detail and critical-thinking skills.

Responsibilities

• Create realistic healthcare operations scenarios based on your professional experience.
• Develop supporting documentation, payer policies, claim information, and workflow examples for evaluation purposes.
• Review AI-generated coding decisions, denial appeals, physician queries, prior authorization determinations, audit reports, and charge reconcilations.
• Compare multiple AI-generated responses and identify errors, omissions, compliance issues, and reasoning flaws.
• Develop detailed grading rubrics that define what a correct and compliant response should include.
• Provide written feedback explaining why responses meet or fail industry standards.
• Review and refine projects developed by other healthcare operations professionals.

Skills

Healthcare operations

Medical coding

Billing

Revenue cycle management

Documentation integrity

Regulatory guidelines

Analytical skills

Communication

Education

Bachelor's degree in progress or completed, or equivalent industry experience

Tools

Healthcare coding software

Payer policies databases

Job description

Healthcare Operations AI Trainer Remote Contract

About the Role

We are seeking experienced healthcare operations professionals to help evaluate and improve advanced AI models that support the administrative and business side of healthcare. In this role, you will leverage your expertise in coding, billing, revenue cycle management, documentation integrity, utilization review, payer operations, and healthcare compliance to assess AI-generated outputs against real-world industry standards.

This is a fully remote, flexible opportunity for professionals who enjoy problem-solving, reviewing documentation, applying regulations and guidelines, and ensuring accuracy in complex healthcare workflows. Rather than working directly within a healthcare organization, you will help train and improve next-generation AI systems by evaluating how they perform realistic healthcare operations tasks.

Responsibilities

• Create realistic healthcare operations scenarios based on your professional experience.
• Develop supporting documentation, payer policies, claim information, and workflow examples for evaluation purposes.
• Review AI-generated coding decisions, denial appeals, physician queries, prior authorization determinations, audit reports, and charge reconcilations.
• Compare multiple AI-generated responses and identify errors, omissions, compliance issues, and reasoning flaws.
• Develop detailed grading rubrics that define what a correct and compliant response should include.
• Provide written feedback explaining why responses meet or fail industry standards.
• Review and refine projects developed by other healthcare operations professionals.

Areas of Expertise

Candidates may come from backgrounds including:

• Medical Coding & Billing
• Health Information Management (HIM)
• Revenue Cycle Management
• Clinical Documentation Integrity (CDI)
• Coding Audits & Compliance
• Denials & Appeals
• Prior Authorization
• Utilization Review
• Case Management
• Claims Processing & Examination
• Provider Credentialing
• Practice Management
• Payer Operations
• Charge Capture & Reconciliation

Qualifications

• 2+ years of hands-on healthcare operations experience preferred.
• Bachelor's degree in progress or completed, or equivalent industry experience.
• Strong knowledge of healthcare documentation, coding, billing, or revenue cycle processes.
• Experience interpreting regulations, coding guidelines, payer policies, and compliance requirements.
• Excellent written communication and analytical skills.
• Ability to identify inaccuracies and explain decisions using industry standards and supporting documentation.
• Strong attention to detail and critical-thinking skills.

Preferred Credentials

Credentials are preferred but not required. Relevant certifications may include:

• CPC (Certified Professional Coder)
• CCS (Certified Coding Specialist)
• CCA (Certified Coding Associate)
• RHIA (Registered Health Information Administrator)
• RHIT (Registered Health Information Technician)
• CDIP (Certified Documentation Improvement Practitioner)
• CCDS (Certified Clinical Documentation Specialist)

Practical production experience is often more important than certifications alone.

Eligible Professional Backgrounds

• Medical Coder
• Inpatient Coder
• Outpatient Coder
• Professional Fee Coder
• Coding Auditor
• CDI Specialist
• HIM Specialist or Manager
• Revenue Cycle Analyst
• Revenue Cycle Manager
• Denials & Appeals Specialist
• Prior Authorization Specialist
• Utilization Review Nurse
• Claims Examiner
• Practice Manager
• Provider Credentialing Specialist