DRG Business Solutions Lead
Abacus Insights
About the Role The DRG Business Solutions Lead is the clinical-coding domain authority who will partner directly with product, AI engineering, and clinical leadership to translate DRG audit expertise into product capability. This is not a traditional auditor seat — this is a builder seat. You'll sit at the center of how Abacus builds trustworthy AI for healthcare payment integrity — defining the audit logic, shaping the prompt libraries, validating AI outputs, and owning the defensibility standard that every Abacus finding must meet. It's a rare seat for a DRG expert: instead of applying your coding and appeal-defense expertise one claim at a time, you'll encode it into a product used at sca...
- ...About the Role The DRG Business Solutions Lead is the clinical-coding domain authority who will partner directly with product, AI engineering, and clinical leadership to translate DRG audit expertise into product capability. This is not a traditional auditor seat — this...SuggestedFull time
- ...nuance and product logic — and the Complex Clinical Audit (CCA) Business Solutions Lead is where that intersection gets built. This is not a... ...backbone of a product. You'll translate coding guidelines, MS-DRG definitions, and payer audit policy into workable product logic...SuggestedFull time
- ...nuance and product logic — and the Complex Clinical Audit (CCA) Business Solutions Lead is where that intersection gets built. This is not a... ...backbone of a product. You'll translate coding guidelines, MS-DRG definitions, and payer audit policy into workable product logic...SuggestedFull timeContract workShift work
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