Healthcare Operations Expert

Sovrano AI; United States; Remote; USD 34,000 - 62,000; Part time

Job summary

Joinkeywork is seeking contractors to develop realistic healthcare operations scenarios and to review AI-generated answers for coding, billing and compliance accuracy. You will document reasoning with cited rules and guidelines, and iterate until the work meets acceptance criteria.

Projects are remote and scoped per assignment, with clear upfront rate and hours. You will review expert submissions against a checklist, explain issues, and ensure practical, compliant workflows using public or

Qualifications

• Experience in hospital, clinic, payer or health system operations.
• Working knowledge of billing, coding or compliance in at least one health system.
• Able to explain operational reasoning in plain written English.

Responsibilities

• Write realistic healthcare operations scenarios with the answer an experienced practitioner would give.
• Review other experts' work against an acceptance checklist and explain what is wrong and why.
• Evaluate AI-generated answers on coding, billing, compliance and workflow for accuracy.
• Document your reasoning and cite the rule or guideline behind it.
• Apply reviewer feedback and revise until the work is accepted.
• Work from public or fictional cases only, with no real patient information.

Skills

Healthcare ops

Billing knowledge

Code review

Compliance

Education

Healthcare operations experience

Job description

AI labs need healthcare administration checked by people who have run it. A model can explain how a claim gets coded. Knowing why denials spiked after a payer changed its rules takes someone who has worked the queue.

Work varies by project. Depending on the project you might write operations scenarios with worked answers, review other experts' work against a checklist, or grade AI answers on coding, billing, compliance and workflow. Hours, scope and rate are set per project and sent to you in writing before you start.

On a project you write realistic healthcare operations tasks and the answer an experienced practitioner would give, review other experts' work against an acceptance checklist, and evaluate AI answers for wrong coding logic, compliance gaps and impractical workflows. Reviewers check everything, and you are paid for approved work.

Key responsibilities

• Write realistic healthcare operations scenarios with the answer an experienced practitioner would give
• Review other experts' work against an acceptance checklist and explain what is wrong and why
• Evaluate AI-generated answers on coding, billing, compliance and workflow for accuracy
• Document your reasoning and cite the rule or guideline behind it
• Apply reviewer feedback and revise until the work is accepted
• Work from public or fictional cases only, with no real patient information

Ideal qualifications

• Professional experience in hospital, clinic, payer or health system operations
• Working knowledge of billing, coding or compliance in at least one health system
• Able to explain operational reasoning in plain written English

Nice to have

• Revenue cycle or utilization management experience
• Health policy or public health background
• Certification such as CPC, CCS or CPHQ
• Prior work on an AI training or data platform