Medical Coder – AI Content Evaluator

This is a fully remote position, open to applicants in New York.

📋 Description

• Evaluate and authenticate AI-generated content related to healthcare operations, medical coding, and reimbursement.

• Analyze, evaluate, and compare AI model outputs to aid in the development and enhancement of AI performance.

• Create expert-level responses to operational healthcare scenarios for AI training and benchmarking purposes.

• Detect inaccuracies, inconsistencies, and ambiguous recommendations while providing actionable feedback.

• Develop real-world healthcare operations use cases, including scenario design, documentation, input datasets, and evaluation criteria.

• Assess AI performance against tailored scenarios and refine tasks based on reviews, outcomes, and stakeholder input.

• Adhere to project standards, documentation protocols, and submission guidelines.

• Ensure quality is maintained while fulfilling productivity expectations throughout the engagement.

• Interpret process documentation and integrate feedback during iterative review cycles.

• Operate independently in a remote setting while effectively managing priorities, deadlines, and deliverables.

• Utilize cloud-based collaboration tools and document management systems to complete and submit work products.

⛳️ Requirements

• Professional experience in supporting healthcare operations, revenue cycle functions, health information management, utilization management, patient access, compliance, or similar healthcare administrative settings.

• Practical experience in medical coding or significant involvement in healthcare operations, with direct engagement in daily tasks as an individual contributor.

• Extensive knowledge of medical billing, medical coding, and healthcare operations.

• Understanding of medical terminology and health information management practices.

• Bachelor’s degree.

• Outstanding written communication skills.

• Strong attention to detail and the capability to interpret and adhere to process documentation accurately.

• Ability to effectively apply feedback during iterative review and revision cycles.

• Comfortable using user-level AI and large language model (LLM) tools.

• Proficient in cloud-based collaboration platforms, document management tools, software installations, file-sharing, and file-conversion processes.

• Capacity to work independently in a remote environment while managing priorities, deadlines, and deliverables with minimal supervision.

• Availability to work 30–40 hours per week over approximately 12 weeks.

• Must reside within the United States.

• Coding certifications such as CPC, CCS, or CCA are preferred but not mandatory.

• Healthcare credentials like CPC, CCS, RHIT, RHIA, or similar are advantageous but not essential.

• Experience in utilization management, utilization review, case management, or prior authorization processes.

• Background in patient access, revenue cycle, or compliance-related healthcare administrative roles.

• Familiarity with generative AI technologies and large language models.

• Experience assessing healthcare documentation and reimbursement scenarios for accuracy and compliance with industry standards.

🏝️ Benefits

• Medical, dental & vision coverage.

• Critical Illness, Accident, and Hospital insurance.

• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available.

• Life Insurance (Voluntary Life & AD&D for the employee and dependents).

• Short and long-term disability benefits.

• Health Spending Account (HSA).

• Transportation benefits.

• Employee Assistance Program.

• Time Off/Leave (PTO, Vacation or Sick Leave).

• Flexible working hours.

• Fully remote work environment.