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India
3+ years of experience
Innovative Data Scientist with 3+ years of experience building, fine-tuning, and deploying production-ready ML and LLM models, including RAG pipelines and vector databases. Proficient in Python, PyTorch, TensorFlow, and MLOps workflows to optimize performance and scalability.

It reads medical notes (PDF or text), performs ICD-10-CM FY25 compliant diagnosis coding using a RAG-enhanced extraction agent, selects the correct CPT/HCPCS procedures, interprets insurer rules, generates the complete prior-auth submission packet, and autonomously follows through with tracking or appeal generation. The system combines OCR, Gemini 2.5 Pro structured extraction, and a Qdrant-powered RAG engine enriched with official ICD-10 guidelines and historical case data. Claimpilot performs the entire workflow end-to-end, from PDF ingestion to approval prediction, submission, and appeal generation, reducing a 45-minute manual task to under 40 seconds while ensuring full coding accuracy and compliance.
19 Nov 2025