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About the Role
We are seeking experienced healthcare operations professionals to join our AI training team. In this role, you will help evaluate and improve artificial intelligence systems by applying real-world expertise in medical coding, billing, revenue cycle management, clinical documentation integrity, utilization review, claims processing, and healthcare operations. The ideal candidate has hands-on industry experience, strong analytical skills, and the ability to assess complex healthcare scenarios while working independently in a remote environment.
Responsibilities
- Create realistic healthcare operations scenarios based on professional experience.
- Review and evaluate AI-generated outputs related to medical coding, billing, claims processing, denials management, prior authorizations, documentation reviews, and revenue cycle functions.
- Compare multiple AI-generated responses and determine which best meets industry standards and guidelines.
- Develop detailed evaluation criteria and grading rubrics for healthcare operations workflows.
- Identify errors, omissions, compliance concerns, documentation issues, and workflow gaps in AI-generated work products.
- Collaborate with project teams to support AI training, quality assurance, and data annotation initiatives.
Requirements
- 2+ years of experience in healthcare operations, medical coding, billing, clinical documentation integrity, utilization review, claims administration, health information management, or related fields.
- Experience with one or more of the following: ICD-10-CM/PCS coding, CPT and HCPCS coding, Revenue cycle management, Claims auditing, Denials and appeals, Prior authorizations, Clinical documentation improvement (CDI), Payer operations, Practice management.
- Ability to work independently, manage multiple projects, and maintain high-quality standards in a remote environment.
- Strong attention to detail and critical thinking skills.
- Comfortable learning new processes and adapting to evolving project requirements.
Skills
- Strong knowledge of healthcare operations, medical coding, billing, claims management, or revenue cycle workflows.
- Experience interpreting healthcare documentation, payer policies, reimbursement guidelines, and coding standards.
- Excellent analytical and written communication skills.
- Ability to evaluate complex information and provide detailed feedback.
- Proficiency with computer systems, data management tools, and cloud-based applications.
- Familiarity with artificial intelligence tools and their practical applications.
Location
- New York, NY
Work Type
- Remote
- Project-based
- Independent Contractor
Experience Level
- 2+ years of experience
Education Level
- Professional certifications such as CPC, CCS, RHIA, RHIT, CDIP, CCDS, or similar are preferred but not required.
Salary/Compensations
- $40000.00 - $60000.00/yr
Benefits
- no benefits
About the Company
- Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® Platinum Award winner for both client and talent service.
Equal Opportunity
- The company is an equal opportunity employer and will consider all applications without regardance to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
- If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation options.
- Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.
- It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
- We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.