Healthcare AI Trainer: Elevate Coding & Payer Workflows

Planet Pharma; Chicago (IL); Presencial; AUD 85.000 - 120.000; Jornada completa

Descripción de la vacante

Planet Pharma is seeking a healthcare operations expert to assess AI-generated outputs across coding, billing, claims, CDI, and utilization management. Use real-world experience to help AI navigate complex healthcare workflows and regulatory requirements.

You will create realistic scenarios, evaluate AI results, and provide detailed feedback to improve coding accuracy, payer rules, documentation and reimbursement processes across multiple jurisdictions.

Formación

• Minimum 2+ years in medical coding, billing, or related revenue cycle roles.
• Strong knowledge of healthcare workflows and regulatory requirements.
• Familiarity with ICD-10, CPT, HCPCS, DRG, APC and payer policies.

Responsabilidades

• Create realistic healthcare operations scenarios from experience.
• Evaluate AI-generated coding, claims, CDI, and utilization outputs.
• Identify errors, risks, and compliance gaps in AI results.
• Develop scoring criteria and evaluation frameworks.
• Provide detailed feedback on coding accuracy and reimbursement processes.

Conocimientos

Medical coding expertise

Healthcare workflow knowledge

ICD-10 CPT HCPCS DRG APC policies

Educación

CPC, CCS, CCA, RHIA, RHIT, CDIP, CCDS certifications

Descripción del empleo

Planet Pharma is seeking a healthcare operations expert to assess AI-generated outputs across coding, billing, claims, CDI, and utilization management. Use real-world experience to help AI navigate complex healthcare workflows and regulatory requirements.

You will create realistic scenarios, evaluate AI results, and provide detailed feedback to improve coding accuracy, payer rules, documentation and reimbursement processes across multiple jurisdictions.