Lead Assistant Manager

About the role

We are seeking an experienced Clinical Coding Subject Matter Expert (SME) to support the development, validation, and continuous improvement of AI-powered solutions across its Healthcare Payer Practice. In this role, you will work closely with AI engineers, product managers, and client-facing teams to ensure that our solutions reflect real-world coding standards, payer policies, and clinical accuracy.

What you'll do

• Work closely with AI engineers, product managers, and client-facing teams to ensure that our solutions reflect real-world coding standards, payer policies
• Serve as the primary clinical coding advisor for AI product teams, providing guidance on ICD-10-CM/PCS, CPT/E&M, and DRG/inpatient coding rules, conventions
• Partner with Legal and Compliance teams to ensure coding logic adheres to applicable federal and state regulations, including HIPAA and CMS standards
• Collaborate with AI engineers and data scientists to define coding logic, decision trees, and clinical criteria used in AI model development and prompt engineering
• Translate complex clinical coding rules into structured, machine-readable formats (e.g., YAML, JSON decision trees) for consumption by AI pipelines

What you need

• 7–13 yrs of experience
• Machine learning
• SQL
• Python
• NLP
• Medical coding
• Claims processing
• Any graduate

Good to have

• Data structures
• Data visualisation
• Power BI
• Tableau
• Prompt engineering
• Test cases