AI Healthcare Operations

Aston Carter

. Create realistic healthcare operations scenarios based on professional experience .

Posted 11/6/2026contractRemote • New York • United StatesJuniorMid-Level💰 $40,000 - $60,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare operations, including medical coding, billing, and revenue cycle management, while effectively evaluating AI-generated outputs and ensuring compliance with industry standards. Strong analytical and communication skills support collaboration on AI training and quality assurance initiatives.

Highest-signal resume keywords

Healthcare Operations ExperienceMedical Coding ProficiencyRevenue Cycle ManagementAnalytical SkillsAI Tools Familiarity

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical CodingBillingClaims ProcessingICD-10-CM/PCS CodingCPT CodingHCPCS CodingClinical Documentation ImprovementClaims AuditingPrior AuthorizationsUtilization Review

Soft Skills

Analytical SkillsWritten CommunicationAttention to DetailCritical ThinkingAdaptability

Tools & Technologies

Data Management ToolsCloud-Based ApplicationsAI Tools

Certifications & Qualifications

CPCCCSRHIARHITCDIPCCDS

Industry Keywords

Healthcare OperationsClaims AdministrationHealth Information ManagementPayer PoliciesReimbursement GuidelinesDocumentation ReviewsDenials ManagementCompliance ConcernsWorkflow GapsQuality Assurance

Tech Stack

Tools & technologies

Cloud

About the role

Key responsibilities & impact

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
Support the development and evaluation of advanced AI systems through expert healthcare operations knowledge

Requirements

What you’ll need

2+ years of experience in healthcare operations, medical coding, billing, clinical documentation integrity, utilization review, claims administration, health information management, or related fields
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
Experience with ICD-10-CM/PCS coding, CPT and HCPCS coding, revenue cycle management, claims auditing, denials and appeals, prior authorizations, clinical documentation improvement, payer operations, or practice management
Professional certifications such as CPC, CCS, RHIA, RHIT, CDIP, or CCDS are preferred but not required
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
Reliable internet connection and access to a computer

Benefits

Comp & perks

100% remote work from home
Flexible scheduling
Minimum commitment of approximately 10 hours per week with no weekly maximum
Full-time hours may be available based on project needs
Independent Contractor, 13 week DP, no benefits