AI/Machine Learning Consultant – Medical Coding Automation

Overview: OlleyaHealth is developing a next-generation AI platform to support accurate CPT coding, reduce claim denials, and improve audit readiness for U.S.-based healthcare providers. We are seeking a consultant, based in the United States, to lead and guide the AI/machine learning approach in partnership with our technical and coding teams located offshore. Responsibilities: • Oversee and advise on the development of AI/ML models for medical coding automation and claim audit tools • Work closely with engineers and coders in Bangalore/Mumbai who will manage day-to-day implementation and data handling • Help design training data pipelines, develop annotation strategies, and validate outputs using real EHR and claims datasets • Translate healthcare reimbursement and coding knowledge into structured input for model development • Collaborate with a certified India-based medical coder to align outputs with current billing standards Requirements: • Based in the United States • Bachelor’s degree or higher in computer science, data science, health informatics, biomedical engineering, or a related field • Minimum 3 years of experience in medical coding automation, AI-driven medical claims processing, or related ML/NLP work in healthcare • Familiarity with CPT, ICD-10, and U.S. healthcare reimbursement systems • Proficiency in Python and experience working with ML frameworks (e.g., TensorFlow, PyTorch, or scikit-learn) • Experience using or integrating with OpenAI, LLMs, or other generative AI tools for document understanding or code prediction tasks • Strong communication skills and ability to coordinate work across distributed teams Preferred Qualifications: • Experience building or auditing AI/NLP tools that support clinical documentation, medical coding, or claims auditing • Working knowledge of EHR data formats (e.g., SOAP notes, HL7, FHIR) and payer claim files • Experience using vector databases, embeddings, and fine-tuning LLMs Details: • 30 hours per week • Flexible hours, remote work • Contract duration: Initial 4 months with potential extension Job Type: Contract Pay: $5,000.00 – $8,000.00 per month Work Location: Remote Apply tot his job