- Manila, Philippines
- Mid
- 5+ years
The Medical Content Analyst focuses on reviewing and validating AI-generated medical coding data (CPT, HCPCS, ICD10CM), providing feedback to improve AI model performance within healthcare workflows.
Responsibilities
- Review and validate AI generated CPT, HCPCS, ICD10CM and other claim data set elements.
- Verify coding or billing guidelines and other data extracts from AI to confirm accuracy in accordance with coding parameters.
- Identify any AI data extract anomalies or defects.
- Provide accurate and timely feedback to AI to improve model performance.
- Remain informed with medical coding and billing regulatory changes to contribute continuous improvement of AI tools.
Requirements
- Bachelor’s degree in health information management
- Nursing
- Healthcare related degree
- Nice to have: Master’s degree in business or healthcare related field
- Nice to have: ClaimsXten experience