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Medical Coding Auditor

RYZ Labs is looking for a Medical Coding Auditor to join one of our brand-new clients, a leading healthcare AI software company. They specialize in minimizing administrative workload on small healthcare providers to enable them to spend more time with what matters most to them- spending time with patients. Your role will be crucial in helping our client optimize their flagship Medical Coding AI product.

As a key member of their Healthcare AI team, you will focus on ensuring the accuracy and reliability of our client’s flagship Medical Coding AI solution. In the early stages, your primary responsibility will be conducting thorough quality assurance audits of the AI’s coding output and collaborating closely with the product and data teams to improve model performance. After approximately 6 months, you will transition into a customer-facing role, serving as a trusted advisor to healthcare clinic users. By leveraging your deep medical coding expertise, you will guide clinics on best practices for integrating and optimizing our AI solution, ensuring a smooth implementation that meets their unique workflow needs.

Basic Qualifications: 
- 5+ years of medical coding experience- 2+ years of medical code auditing experience
- AAPC Certifications: CPC, CPMA, and CRC (CPC-I is a bonus)
- Preferred experience working with several RCM and EHR systems
- 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.

Key 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.

About RYZ Labs:
RYZ Labs is a startup studio founded in 2021 by two lifelong entrepreneurs. The founders of RYZ have worked at some of the world's largest tech companies and some of the most iconic consumer brands. They have lived and worked in Argentina for many years and have decades of experience in Latam. What brought them together was their passion for the early phases of company creation and the idea of attracting the brightest talents in order to build industry-defining companies in a post-pandemic world.

Our teams are remote and distributed throughout the US and Latam. They use the latest cutting-edge technologies in cloud computing to create applications that are scalable and resilient. We aim to provide diverse product solutions for different industries, planning to build a large number of startups in the upcoming years.

At RYZ, you will find yourself working with autonomy and efficiency, owning every step of your development. We provide an environment of opportunities, learning, growth, expansion, and challenging projects. You will deepen your experience while sharing and learning from a team of great professionals and specialists.

Our values and what to expect:
- Customer First Mentality - Every decision we make should be made through the lens of the customer.
- Bias for Action - urgency is critical, expect that the timeline to get something done is accelerated.
- Ownership - Step up if you see an opportunity to help, even if not your core responsibility. 
- Humility and Respect - Be willing to learn, be vulnerable, and treat everyone who interacts with RYZ with respect.
- Frugality - being frugal and cost-conscious helps us do more with less
- Deliver Impact - get things done in the most efficient way. 
- Raise our Standards - always be looking to improve our processes, our team, and our expectations. The status quo is not good enough and never should be.
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Ryz Labs

Category

Finance

Employment type

Full-Time

Region

South America

Location

Buenos Aires

Salary range

Prefer not to share

Posted

1 day ago

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