YO HR Consultancy

Role Title:&nbsp;Medical Auditor
Role Type:&nbsp;Contractor
Location: Remote
Engaging Medical Auditors to contribute specialized expertise to a customer’s project within the academic medical center landscape. In this role, you'll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. No prior experience in AI is required — your domain knowledge is what matters. This opportunity is ideal for experienced professionals with a proven track record in outpatient professional fee coding and audit program oversight, especially within academic medical centers.
Scope of Work
<ul>
<li>Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy and compliance.</li>
<li>Identify trends, gaps, and potential risks in coding practices, providing actionable recommendations for quality improvement.</li>
<li>Apply comprehensive knowledge of academic medical center protocols to evaluate audit findings and ensure adherence to best practices.</li>
<li>Document findings clearly and provide written narratives that enhance model training data for AI development.</li>
<li>Contribute high-quality feedback on complex coding and auditing scenarios to support AI learning objectives.</li>
<li>Engage in collaborative discussions to clarify ambiguous or nuanced coding and documentation cases.</li>
<li>Support ongoing audit program management initiatives as needed, leveraging extensive experience in similar environments.</li>
</ul>
Preferred Qualifications
<ul>
<li>Minimum 10 years' experience in medical coding, with a focus on outpatient professional fee coding and auditing.</li>
<li>Direct experience managing or conducting audits at academic medical centers.</li>
<li>Demonstrated history of consistent high performance and accuracy in coding and audit review assignments.</li>
<li>In-depth understanding of medical coding guidelines, compliance regulations, and audit methodologies.</li>
<li>Exceptional written and verbal communication skills, with the ability to convey complex findings clearly.</li>
<li>Experience delivering insightful, actionable recommendations based on audit data.</li>
<li>Knowledge of audit program management and familiarity with the unique challenges of academic environments.</li>
</ul>