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