Clinical Coding Specialist
Core
Conduct comprehensive chart reviews and coding validation of AI diagnostic models to ensure clinical accuracy and support revenue cycle improvement.
Role type
Inpatient Clinical Coding Specialist (AI Model Validation)
Builds
Clinically accurate AI diagnostic models for revenue cycle teams
Domain
Healthcare / Medical Coding / AI
Deliverable
production ML models
Required skills
ICD-10 classification, inpatient coding, coding audits, DRG methodologies, complex medical record review, coding guidelines application
Preferred skills
CAC systems experience, evaluation frameworks, labeling workflows, CCDS/CDIP credentials (via careerplan.io/jobs/5099964007-clinical-coding-specialist-at-smarterdx)
Technologies
CAC systems, AI diagnostic models
Responsibilities
Review and analyze medical records to ensure coding accuracy, Identify opportunities for improvement in coding models, Apply coding guidelines to assign appropriate codes to diagnoses and procedures, Participate in ongoing training and professional development, Contribute to process improvement efforts to enhance coding practices
Seniority
Mid-Senior level, hands-on IC