Part-Time Medical Billing AI Evaluation Manager

OpenTrain AI; Northern (KY); Hybrid; USD 114,616,000 - 172,200,000; Part time

Job summary

OpenTrain AI is seeking an expert Medical Billing AI Evaluation Manager for a part-time contractor role in the United States. You will review billing outputs, claim edits, and coding validations against payer requirements and billing compliance rules.

The role requires at least 20 hours per week, with compensation at $80 per hour. Primary duties include evaluating AI-generated content and supporting training datasets for AI-driven billing workflows.

Qualifications

• 5+ years in medical billing and claims management
• 2+ years in a management role
• Deep knowledge of CMS-1500, UB-04, HIPAA 837 standards and payer rules
• Strong understanding of Medicare, Medicaid, and commercial payer requirements
• Familiarity with Epic, Athenahealth or AdvancedMD and clearinghouse tools
• Strong written and verbal English communication skills
• High attention to detail and comfort evaluating AI-generated billing content

Responsibilities

• Evaluate AI-generated billing outputs and coding validations for accuracy and payer compliance.
• Assess medical billing and claims submission workflows across professional and facility billing environments.
• Track clean claim rates, rejection rates, and first-pass acceptance rates; identify improvements.
• Coordinate issue resolution across coding, CDI, and collections workflows.
• Annotate AI outputs and provide structured feedback for training datasets.
• Help refine billing SOPs and payer reference guides.
• Review and improve models with expert feedback to support training datasets.

Skills

English communication

Attention to detail

Analytics

Education

CPC/CCS/CHFP/CRCR credential

Tools

Epic

Athenahealth

AdvancedMD

Job description

OpenTrain AI is seeking an expert Medical Billing AI Evaluation Manager for a part-time contractor role in the United States. You will review billing outputs, claim edits, and coding validations against payer requirements and billing compliance rules.

The role requires at least 20 hours per week, with compensation at $80 per hour. Primary duties include evaluating AI-generated content and supporting training datasets for AI-driven billing workflows.