Urgent Hiring - Medical Coder

• Review and validate AI-generated CPT, HCPCS, and ICD-10-CM codes and claim data for accuracy and compliance with coding guidelines.
• Identify coding errors, data anomalies, and AI-generated defects, providing timely feedback to improve model performance.
• Monitor medical coding, billing regulations, and payer requirements to support continuous improvement of AI tools.
• Develop and validate coding guidelines, policies, and rules for AI-assisted medical coding workflows.
• Serve as a subject matter expert, collaborating with clinical, technical, and product teams to enhance AI-driven coding solutions.

Skills and requirements

• Bachelor's degree in Nursing
• Active CPC certification.
• With 5 years of relevant healthcare experience, including 3 years in medical coding, chart review, auditing, or abstraction, with strong knowledge of CPT, ICD-10-CM, and HCPCS.
• Knowledge of US healthcare insurance and claims processing, including Commercial, Medicare, Medicaid, and paper and EDI claims.
• Strong medical terminology, anatomy, analytical, and communication skills; proficiency in Microsoft Office and familiarity with AI-assisted coding or NLP tools are preferred.