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Medical Coding Artificial Intelligence Jobs in New York

We are the intelligence platform powering benefits plans for millions of Americans and proudly ... This role requires deep knowledge of medical coding, health plan operations, and claims ...

Experience in medical billing, medical ... coding, and healthcare operations. * Proficiency in using artificial intelligence and large ...

Experience in medical billing, medical ... coding, and healthcare operations. * Proficiency in using artificial intelligence and large ...

Experience in medical billing, medical ... coding, and healthcare operations. * Proficiency in using artificial intelligence and large ...

Experience in medical billing, medical ... coding, and healthcare operations. * Proficiency in using artificial intelligence and large ...

Experience in medical billing, medical ... coding, and healthcare operations. * Proficiency in using artificial intelligence and large ...

Experience in medical billing, medical ... coding, and healthcare operations. * Proficiency in using artificial intelligence and large ...

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Medical Coding Artificial Intelligence information

What is Medical Coding Artificial Intelligence?

Medical Coding Artificial Intelligence refers to the use of AI technologies to automate and improve the medical coding process in healthcare. AI systems can analyze clinical documentation, extract relevant information, and assign appropriate codes for diagnoses and procedures. This technology helps healthcare providers increase accuracy, reduce manual errors, streamline billing, and ensure compliance with regulations. By leveraging AI, organizations can save time and resources while enhancing the quality of patient data management.

How do professionals in Medical Coding Artificial Intelligence typically collaborate with healthcare providers and IT teams?

Professionals working in Medical Coding Artificial Intelligence frequently interact with both healthcare providers and IT teams to develop and refine AI models that accurately interpret medical documentation. This collaboration involves understanding clinical workflows, ensuring data privacy compliance, and translating medical terminology into machine-readable formats. Regular meetings and cross-functional teamwork help align the AI solutions with real-world clinical needs and regulatory standards, making strong communication skills essential for success in this role.

What are the key skills and qualifications needed to thrive in Medical Coding Artificial Intelligence, and why are they important?

To excel in Medical Coding Artificial Intelligence, you need a strong background in medical coding, familiarity with healthcare terminology, and expertise in AI or machine learning, often supported by degrees in health informatics, computer science, or related certifications. Experience with coding systems like ICD-10, CPT, and proficiency in AI tools, programming languages (such as Python), and natural language processing platforms are typically required. Strong analytical thinking, attention to detail, and effective collaboration skills help professionals bridge the gap between clinical data and technical solutions. These competencies are crucial for developing, optimizing, and deploying AI systems that improve the accuracy and efficiency of medical coding in healthcare organizations.

What is the difference between Medical Coding Artificial Intelligence vs Medical Coding Specialist?

AspectMedical Coding Artificial IntelligenceMedical Coding Specialist
CredentialsNone required, relies on algorithmsCertification (e.g., CPC, CCS)
Work EnvironmentAutomated systems, software platformsHospitals, clinics, healthcare offices
Industry UsageAssists or automates coding tasksPerforms manual coding and audits
Search/Comparison IntentUnderstanding AI role in codingManual coding skills and certification

Medical Coding Artificial Intelligence primarily automates coding processes using algorithms, reducing manual effort. Medical Coding Specialists manually review and assign codes, often requiring certifications. AI enhances efficiency, while specialists ensure accuracy and compliance. Both play vital roles in healthcare documentation and billing.

What are popular job titles related to Medical Coding Artificial Intelligence jobs in New York?

For Medical Coding Artificial Intelligence jobs in New York, the most frequently searched job titles are:

What job categories do people searching Medical Coding Artificial Intelligence jobs in New York look for?

The top searched job categories for Medical Coding Artificial Intelligence jobs in New York are:

What cities in New York are hiring for Medical Coding Artificial Intelligence jobs?

Cities in New York with the most Medical Coding Artificial Intelligence job openings:

Medical Coding Specialist

Capital Rx

Manhattan, NY • On-site

$70K - $85K/yr

Other

Medical

This job post has expired today. Applications are no longer accepted.


Job description

About Judi Health

Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.

Location: Hybrid (Local to Charlotte, NC; Denver, CO; or New York, NY area)

Position Overview

We are seeking a highly motivated Medical Coding Specialist to support the accurate configuration, testing, and maintenance of medical claims processing rules within our platform, Judi. This role requires deep knowledge of medical coding, health plan operations, and claims adjudication, as well as the ability to translate client requirements into scalable system configurations. The ideal candidate is detail-oriented, adaptable, and passionate about leveraging technology to improve healthcare administration.

Key Responsibilities

  • Stay current on coding and coverage guidelines from organizations such as CMS, AMA, AAPC, USPSTF, and other regulatory bodies.
  • Utilize CPT, HCPCS, ICD-10, revenue, bill type, place of service, taxonomy, specialty, and related code sets to configure claims processing logic for commercial health plans.
  • Configure, test, and maintain coding rules using internal coding and testing tools.
  • Translate client requirements into accurate and timely system configurations.
  • Research and resolve coding-related questions and escalations from claims processors, Customer Care, Account Management, and other stakeholders.
  • Conduct regular claims reviews and audits to ensure coding accuracy, consistency, and compliance.
  • Partner closely with Implementation, Benefit Operations, Product, and Technology teams to support new client implementations and platform enhancements.
  • Contribute to continuous improvement initiatives that enhance claims processing accuracy and operational efficiency.
  • Creates and maintains documentation, job aids, and reporting to support operational effectiveness and compliance.
  • Support regulatory audits, quality improvement initiatives, and RFI/RFP responses as needed.
  • Develop and maintain departmental resources, including SharePoint sites and other team documentation.
  • Performs other duties and responsibilities as needed.

Required Qualifications

  • Bachelor's degree strongly preferred.
  • AAPC Medical Coding & Billing Certification (e.g., CPC) required.
  • 5+ years of experience with a health plan, payer, or third-party administrator (TPA).
  • Strong understanding of CPT, ICD-10, HCPCS, Revenue Codes, Bill Type Codes, Place of Service Codes, and Taxonomy Codes.
  • Medicare and Medicaid experience preferred.
  • Demonstrated ability to learn and apply new technologies.
  • Proven track record of meeting deadlines and delivering high-quality results.
  • Excellent project management, time management, prioritization, and organizational skills.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Proficiency with Microsoft Office Suite.
  • Strong verbal, written, presentation, and interpersonal communication skills.
  • Ability to collaborate effectively with cross-functional and virtual teams.

Preferred Qualifications

  • Analytical mindset with strong problem-solving skills and attention to detail.
  • Customer-focused approach with a passion for improving healthcare operations and driving process improvements.
  • Self-starter who can work independently, lead through subject matter expertise, and effectively collaborate across cross-functional teams.
  • Experience supporting regulatory audits, developing operational processes, and training or onboarding team members.

This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.

New York, NY Salary Range
$70,000—$85,000 USD
Denver, CO Salary Range
$70,000—$85,000 USD
Charlotte, NC Salary Range
$70,000—$85,000 USD

All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found athttps://www.judi.health/legal/privacy-policy.