Senior Autonomous Coding Quality Analyst

The Senior Autonomous Coding Quality Analyst validates various outputs from artificial intelligence (AI) code sets, ensuring adherence to coding quality assurance program (CQAP) guidelines, coding policies, and SOPs for accurate and consistent coding. The role is responsible for the AI creativity and optimization related to clinician documentation deficiencies, predictive modeling, and more.

Requirements

• Pre-autonomous validation of AI outputs, including MDM scoring, primary and secondary diagnosis codes, CPT codes, MOD, etc.
• Quality assurance reviews on un-codable cases flagged by AI for human review
• Track key metrics such as accuracy rates, audit findings, and areas requiring manual review
• Perform quality assurance reviews on all or a percentage of encounters coded autonomously
• Stay current on all relevant coding guidelines, payer requirements, and government regulations
• Validate/review of coder comms compliance when code assignments are not straightforward or documentation in the record is inadequate

Benefits

• Best in class benefit programs
• Wide array of benefit options