Medical Coding Auditor

Summary

Join RYZ Labs and contribute to a leading healthcare AI software company by ensuring the accuracy and reliability of their flagship Medical Coding AI solution. As a Medical Coding Auditor, you will conduct quality assurance audits of the AI's coding output, collaborate with product and data teams to improve model performance, and transition into a customer-facing role after 6 months. In this role, you will guide healthcare clinic users on best practices for integrating and optimizing the AI solution, ensuring a smooth implementation that meets their unique workflow needs.

Requirements

• 5+ years of medical coding experience
• 2+ years of medical code auditing experience
• AAPC Certifications: CPC, CPMA, and CRC (CPC-I is a bonus)
• Excellent communication skills, both written and verbal
• Strong project management skills with the ability to manage multiple tasks simultaneously
• Ability to work collaboratively with other departments in a remote team environment

Responsibilities

• Conduct comprehensive QA Audits and review AI-generated medical codes for accuracy, compliance, and consistency with current regulations (ICD-10, CPT, HCPCS) and payer guidelines
• Collaborate with product teams and provide detailed feedback and recommendations to developers and data scientists, helping refine the AI’s logic and improve coding outcomes
• Optimize coding processes to maximize customer revenue
• Identify trends, errors, or gaps in AI-generated codes and develop strategies to enhance overall coding workflows, ensuring continuous improvement
• Transition into a customer-facing Customer Success role, onboarding and training healthcare clinics on the proper usage of our AI solution, addressing their concerns, and customizing workflows to fit their operational needs
• Build and maintain client relationships and act as the main point of contact for clinic staff, ensuring high satisfaction, resolving coding-related questions, and identifying opportunities for expansion or new features
• Collaborate with internal teams (Sales, Support, Product, and Leadership) to share customer feedback, recommend product enhancements, and align on strategic objectives
• Stay current with industry standards and monitor changes in coding regulations and industry best practices, relaying insights to both internal teams and customers
• Actively participate in video calls, demonstrating excellent communication skills and the ability to convey complex ideas effectively

Preferred Qualifications

Preferred experience working with several RCM and EHR systems