AI/ML Development Leadership: Lead the implementation of machine learning models and automation pipelines for CPT/ICD code prediction and claims processing. Develop and optimize retrieval-augmented generation (RAG) workflows using LLMs, vector databases (e.g., FAISS), and custom prompts. Direct the design of structured training datasets derived from SOAP notes, payer files, and denial records. Team & Project Management: Manage day-to-day activities of India-based engineers and coding specialists. Coordinate closely with U.S.-based consultants to ensure AI solutions align with reimbursement policy and documentation standards. Track project milestones, guide model improvements, and ensure output quality. Technical Execution: Build, fine-tune, and deploy models using PyTorch, TensorFlow, HuggingFace Transformers , and scikit-learn . Integrate LLM APIs for code summarization and document understanding. Implement vector search and orchestration platforms for real-time AI assistance. Role & responsibilities Preferred candidate profile
Role & responsibilities Audit and validate AI-generated CPT/ICD coding outputs for accuracy, completeness, and alignment with payer guidelines. Provide subject matter expertise to the ML development team, helping explain documentation requirements, billing logic, and workflow detailsparticularly within the Athena EHR platform. Identify edge cases and guide the creation of test cases and labeled datasets for model improvement. Perform quality assurance reviews and root-cause analysis of audit errors, offering structured feedback for continuous learning. Lead knowledge-sharing efforts across teams and support documentation of best practices. Preferred candidate profile
Role & responsibilities Design, develop, and maintain interactive dashboards and reports in Tableau . Perform ad hoc reporting and in-depth trend analysis for clinical and operational metrics. Write and optimize SQL queries for data extraction, transformation, and analysis within Snowflake . Interpret healthcare claims, coding, and provider performance data, with a focus on CPT, ICD-10, RVUs, and other key healthcare indicators. Collaborate with US-based stakeholders to understand business requirements and deliver accurate, timely reports. Ensure data integrity, accuracy, and compliance with HIPAA and applicable data privacy standards. Company website: https://www.olleyahealth.com