HiringWiring
AI Labs

Healthcare Operations AI Trainer

Experience
2+ yrs
Location
United States, Canada, United Kingdom
Work mode
Remote
Job type
Contract
Duration
12 Weeks
Weekly
10+ hours
Salary
$40–$125 / hour
Posted
today

About the role

We are seeking a Healthcare Operations AI Trainer to design realistic healthcare operations tasks and evaluate frontier AI model outputs against professional standards. The role is suited to hands-on practitioners with depth in at least one healthcare operations domain, working knowledge of adjacent workflows, strong written reasoning, and familiarity with healthcare code sets, payer rules, AI models, and everyday file tools.

Key Responsibilities

  • Design challenging, realistic healthcare operations tasks based on current or recent professional practice.
  • Author scenarios, prompts, and supporting files such as encounter documentation, claim forms, remittance advice, payer policies, and correspondence.
  • Run tasks through frontier AI models and evaluate outputs against applicable professional standards.
  • Compare two model outputs using identical prompts and files, determine which performed better, and document performance gaps.
  • Write detailed grading rubrics defining the codes, guidelines, payer rules, reasoning, and deliverable elements required for a correct response.
  • Identify and document concrete failures, including unsupported codes, incorrect sequencing, fabricated guideline references, ignored payer policies, and off-brief interpretations.
  • Evaluate work across coding, clinical documentation integrity, revenue cycle, utilization review, and payer operations.
  • Review and refine tasks created by other healthcare operations experts.
  • Use evidence from source files, underlying numbers, policies, and facts to validate model outputs.
  • Incorporate reviewer feedback, revise submitted work, and progress through project acceptance gates.

Required Qualifications

  • Depth in at least one of the following: inpatient or outpatient coding, professional fee coding, coding audit and compliance, clinical documentation integrity, denials and appeals, prior authorization and utilization review, claims examination, provider credentialing and network operations, practice management, or revenue cycle management.
  • Working understanding of several adjacent healthcare operations workflows.
  • Fluency in the code sets and rules relevant to your area, including ICD-10-CM, ICD-10-PCS, CPT, HCPCS, DRG logic, APC logic, payer policy, and NCCI edits.
  • Ability to cite the guideline behind a professional decision.
  • Current or recent hands-on practitioner experience at an individual contributor level rather than solely managerial experience.
  • Ability to create realistic scenarios from day-to-day healthcare operations work.
  • Full professional or native-level written and spoken English and strong written communication.
  • Ability to explain complex professional reasoning clearly and concisely.
  • Comfort with ambiguity, attention to detail, and the ability to verify claims against underlying numbers, sources, or facts.
  • Ability to interpret feedback, assess its accuracy, and apply it independently.
  • Ability to ramp quickly on unfamiliar work using written materials and incomplete instructions.
  • General familiarity with AI and large language model tools, including experience with Claude or ChatGPT in professional work.
  • Baseline technology literacy, including cloud file tools, browser profiles, desktop applications, and everyday file handling.
  • Availability for at least 10 hours per week, with no weekly maximum.
  • Based in the United States, Canada, or the UK.
  • In-progress Bachelor's degree or higher, or an equivalent coding or HIM credential.

Benefits and Perks

  • Fully remote contract work with flexible scheduling.
  • Compensation of $40-$125/hr USD, paid via PayPal on a regular cadence.
  • Minimum 10 hours per week with no weekly maximum; full-time hours are available.
  • Multi-day task timers that allow work to be spread across multiple days.
  • Access to Claude and ChatGPT through the project; no personal subscription is required.
  • Paid compensation for each completed and accepted project step.
  • Onboarding materials, platform instructions, a dedicated Slack channel, and office hours.
  • Opportunities to review and refine tasks created by other experts.

Skills

  • Medical coding
  • Medical billing
  • Revenue cycle
  • Health information management
  • Clinical documentation integrity
  • Utilization review
  • Case management
  • Payer operations
  • Inpatient coding
  • Outpatient coding
  • Professional fee coding
  • Coding audit and compliance
  • Denials and appeals
  • Prior authorization
  • Claims examination
  • Provider credentialing
  • Network operations
  • Practice management
  • Revenue cycle management
  • ICD-10-CM
  • ICD-10-PCS
  • CPT
  • HCPCS

Education

Required

  • In-progress Bachelor's degree or higher, or an equivalent coding or HIM credential.

Certifications

Preferred

  • CPC
  • CCS
  • CCA
  • RHIA
  • RHIT
  • CDIP
  • CCDS

Selection process

  1. Step 1

    Submitted

    Someone who fits the role and has told you they are interested, with their resume.

  2. Step 2

    HiringWiring Assessment

    They take a short screening assessment.

  3. Step 3

    Client Assessment

  4. Step 4

    Selected

    If they qualify and are selected, your payout is due.