Remote Medical Coder & AI Validation Specialist

Labela

Massachusetts

On-site

USD 65,000 - 90,000

Full time

11 days ago

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Job summary

Labela is seeking certified U.S. medical coders for high-level coding and documentation consulting. You will serve as a subject matter expert to validate, refine, and audit the coding logic and documentation reasoning of frontier AI models.

This is a flexible, remote role designed for practicing coders and auditors to influence the accuracy and compliance of medical AI at scale. In this role you will audit AI outputs for ICD-10-CM/PCS, CPT, and HCPCS, provide expert-level validation for full

Qualifications

  • Active certification from AAPC or AHIMA (CPC or CCS).
  • Minimum of 2 years production coding, auditing, or CDI experience.
  • Location: United States-based.
  • Ability to cite guidelines or payer policies supporting each decision.
  • Flexible, project-based hours around a full-time coding schedule.

Responsibilities

  • Coding Logic Auditing: Review and refine AI-generated code assignments to ensure alignment with ICD-10-CM, ICD-10-PCS, CPT, and HCPCS Level.
  • High-Complexity Validation: Provide expert-level ground truth for full chart abstractions, including E/M level selection, modifier application, MS-DRG and APC assignment, and HCC risk adjustment capture.
  • Compliance Oversight: Identify unbundling, upcoding, undercoding, NCCI edit violations, and medical necessity gaps in AI outputs that could create audit exposure or claim denials.
  • Strategic Consulting: Advise on the development of AI-driven coding, CDI, and revenue cycle support tools across care settings.

Skills

Medical coding
CPC/CCS certified
2+ years coding/auditing
US-based
Audit & validation

Job description

Labela is seeking certified U.S. medical coders for high-level coding and documentation consulting. You will serve as a subject matter expert to validate, refine, and audit the coding logic and documentation reasoning of frontier AI models.

This is a flexible, remote role designed for practicing coders and auditors to influence the accuracy and compliance of medical AI at scale. In this role you will audit AI outputs for ICD-10-CM/PCS, CPT, and HCPCS, provide expert-level validation for full

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