Clinical Ai Specialist, Rn - Medical Coding

Qualified Health

Palo Alto, CA, United States
**
Active registered nurse license required
3-7 years medical coding experience
Emergency department coding expertise
** Qualified Health is seeking a Clinical AI Specialist, RN - Medical Coding to integrate clinical nursing and medical coding expertise into their AI-powered revenue cycle management tools. This role focuses on Emergency Department coding and requires collaboration with product and engineering teams to ensure accuracy and compliance in AI outputs. **

Job Summary

  • This role combines clinical nursing expertise with medical coding knowledge to build and refine AI-powered revenue cycle management tools.
  • You will validate clinical logic, stress-test edge cases, and ensure AI tools produce accurate, compliant outputs for leading health systems.
  • The position offers a unique opportunity to shape the future of healthcare by embedding clinical and coding skills into a fast-moving product team.

Matching Summary

Match Score: 75

** Qualified Health is seeking a Clinical AI Specialist, RN - Medical Coding to integrate clinical nursing and medical coding expertise into their AI-powered revenue cycle management tools. This role focuses on Emergency Department coding and requires collaboration with product and engineering teams to ensure accuracy and compliance in AI outputs. **

Skills & Requirements

Must-have

  • Active Registered Nurse license required
  • 3-7 years medical coding experience
  • Emergency Department coding expertise
  • CPT ICD-10 E/M leveling knowledge
  • CMS guidelines and payer requirements

Nice-to-have

  • Certified Professional Coder or CCS certification
  • Experience with generative AI tools
  • Background in health tech startups
  • Familiarity with clinical decision-support tools
  • Experience in denial management and audits

Key Requirements

  • Active RN license
  • 3-7 years coding/CDI experience
  • ED coding workflow exposure
  • Knowledge of CPT ICD-10 HCPCS
  • Understanding of CMS billing rules

Work Rights

Not specified

Tailored Resume

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