Payment Accuracy and Concept Lead – AI-Driven

🕒 March 31

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🤖 AI Engineer

👻 Ghost score 18%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Team8

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2014

💼 Consulting

🏥 Healthcare

🏭 Manufacturing

Consulting • Healthcare • Manufacturing

Team8 is a company builder and venture group that partners with entrepreneurs to co-found companies in enterprise technology, cybersecurity, artificial intelligence, fintech, and digital health industries. They focus on providing an unfair advantage to startups by integrating expertise, resources, and a community of C-level executives known as the 'Village'. Team8 emphasizes building innovative companies that address significant challenges and opportunities, with a model that involves leading investments in early-stage rounds and collaborating closely with enterprises to facilitate digital transformation.

📋 Description

• Discover medical billing errors and fraudulent billing patterns of medical claims • Utilize Bluespine platform to develop and enhance new audit concepts using healthcare. • Lead concept creation across multiple audit verticals • Collaborate with R&D for testing • Work closely with Medical Coders, Data Sciences, and Engineering teams to ensure alignment and drive impactful results • Lead in-depth research of new ideas and concepts

🎯 Requirements

• Extensive knowledge of medical terminology • medical records • health information management • medical coding • DRG methodologies • CPT/HCPCS coding guidelines • physician specialty guidelines • reimbursement programs • claims adjudication processes • member contract benefits • provider billing systems and practices. • Previous auditing or consulting experience in a provider or payer environment is preferred • Registered Nurse required; Bachelor's or Graduate degree • Previous auditing or consulting experience with self-insured companies

🏖️ Benefits

• health-IT domain • cutting-edge technologies • personalized precision • new audit concepts using healthcare