Medical Content Analyst, Automation

Essential Job Responsibilities & Key Performance Outcomes

• 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.
• Participate in the development of coding guidelines for AI-assisted workflows.
• Validate criteria for policy or rule suitability.
• Serve as a subject matter expert (SME) in cross‑functional team with Clinical, technical, and product stakeholders.

Required Qualifications

• Bachelor’s degree in health information management, Nursing or other Healthcare related degree required