Clinical Database SME – Strategy, CDI Specialist

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $130k - $165k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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AKASA

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

AKASA is a leading provider of generative AI solutions specifically designed for the healthcare revenue cycle. The company focuses on transforming revenue cycle management (RCM) by leveraging advanced generative AI trained on clinical and financial data. AKASA aims to improve the efficiency and effectiveness of healthcare revenue cycles by speeding up processes, reducing costs, and enhancing patient satisfaction. Their AI-powered solutions address key areas such as medical coding, claim status, and authorization. AKASA’s platform is deployed across numerous hospitals and outpatient facilities, providing significant improvements in financial operations and staff efficiency for health systems.

📋 Description

• Serve as the clinical translation layer between AKASA’s product and engineering team • Translate complex and ambiguous clinical scenarios into clear, clinically grounded input for engineering and product • Translate local clinical practices from customers back to the team • Work cross-functionally across strategy, engineering, and marketing to appraise and optimize clinical foundations • Independently analyze clinical cases and think about clinical databases • Design and test digital experiments alongside an engineering team • Work with and develop internal tooling to solve problems • Develop Revenue Cycle training specification documents for internal and customer-facing arenas • Work with Product Managers on timelines and deliverables • Refine product development with internal teams and client partners • Interface with the RCO team on client Proof of Concept exercises and Spec Validations • Manage resources assigned for project-related work • Report directly to the VP of Clinical Strategy

🎯 Requirements

• Bachelor’s or Master’s degree in nursing • Must have an RN and CCDS • Business, Management or similar field and/or relevant experience is preferred • 5+ years experience as a leader in Coding and/ CDI departments within the revenue cycle or worked in a consulting or project management capacity • Concurrent and retrospective CDI review experience required • Experience in both inpatient and outpatient settings required • QA / documentation/training experience • Strong analytical, research/data science, and project management skills • Current credentials from AHIMA, AAPC, or ACDIS • Comfortable interacting with physicians, nurses, and administrators • Knowledge of CDI end to end, from frontline documentation to backoffice billing codes • Experience with Plan-Do-Study-Act (PDSA) process improvement cycles or nursing informatics research is a strong plus

🏖️ Benefits

• Flexible paid time off (PTO) • Expansive coverage for health, dental, and vision • Employer contribution to Health Savings Accounts (HSA) • Generous parental leave policy • Full employee coverage for life insurance • Home office stipend • Cell phone/internet reimbursement • Company-paid holidays • 401(K) plan • Equity