AI for Healthcare Operations

What you’ll be able to do

The job, task by task.

1. 1Audit an AI-suggested ICD-10-CM and CPT code set for a four-day inpatient stay against the discharge summary. Hand your lead an override log naming every code you changed and why
2. 2Write a compliant physician query for a chart the coding engine could not resolve. Present the documented clinical indicators, and never steer the physician to an answer
3. 3De-identify a chart extract to Safe Harbor before any AI tool touches it. Choose a tool the business-associate agreement actually covers. Show the substitution log
4. 4Work a shift of low-confidence coding exceptions to the daily quota. Hold 95 per cent line-item accuracy. Defend every chart you cleared to the QA sample
5. 5Read a week of denials off the remittance file. Find the one root cause behind the cluster. Draft the appeal, and verify every citation in it before it goes to the payer
6. 6Code a spontaneous adverse event report to MedDRA preferred terms. Assess seriousness against the criteria. Correct an AI-drafted case narrative before the 15-day clock runs
7. 7Register a walk-in admission. Link the ABHA only with recorded consent. Get the TPA cashless pre-authorisation pack out inside the hour, and send nothing the consent does not cover
8. 8Sort your own job into what AI does, what it must not touch and what it has made new — and brief it so it stops guessing.
9. 9Trace every claim and number an AI gives you back to a source, make it write the formula rather than the answer, and keep a work log a manager accepts.
10. 10Find the personal data already on your desk, substitute before you paste, and know when a tool may not touch a file at all.
11. 11Draft, cut and translate without sounding like a machine, turn a broken export into a pivot, and hand over a prompt library your team can use.

• Excel
• Google Sheets
• ICD-10
• CPT
• MedDRA
• ABHA
• Google Docs

Syllabus

Eight weeks, one desk at a time.

Weeks 1-4 are the AICP common core, shared by every profession track: sixteen lessons on what AI does at a desk, how to verify it, and how to keep personal data out of it.

1. Week 1

   Week 1 · What AI does at your desk

   Shared core

   1. Three columns on a real job advertisement

      Take the job advertisement you actually applied to and sort every duty in it into three columns - AI does it, AI must not touch it, AI has made this new work

      2 work files 22 min

   2. The context pack that makes a prompt work

      Build a five-part context pack for one real task at your desk. Run the same prompt twice - once naked, once with the pack. Then show your manager the difference

      3 work files 23 min

   3. Argue the first draft down to something usable

      Get a first draft out of the AI in one shot. Then critique it, constrain it and regenerate. Stop when a dealer would read it without asking you a question

      3 work files 22 min

   4. The five things it will get wrong every time

      Run five live prompts at your own desk. Find the five failure classes AI is reliably wrong about. Write the one-line check that catches each one

      3 work files 23 min
2. Week 2

   Week 2 · Verify everything

   Shared core

   1. Every claim traced back to a source

      Take an AI-written summary note. Trace every factual claim in it to a page in the source pack. Hand over the claims log that proves you checked each one

      3 work files 22 min

   2. Make the AI write the formula, not the answer

      Get a correct total out of a 412-row expense export. Do not let the model do any arithmetic

      1 work file 22 min

   3. Ten outputs, one drill, count what you catch

      Work through ten AI outputs on the clock, mark each one clean or defective, name the defect, and score yourself against the answer key

      3 work files 23 min

   4. The work log a manager will accept

      Write the AI work log for one week of your own tasks. A manager or an auditor should be able to rebuild what the tool did. Also what you checked, and what you signed off

      3 work files 24 min
3. Week 3

   Week 3 · Personal data and disclosure

   Shared core

   1. Find the personal data already sitting in your shared folder

      Go through one shared-drive folder. Mark every file that holds personal data. Use the DPDP Act 2023 and the Rules notified 14 Nov 2025

      3 work files 22 min

   2. Build the substitution sheet before you paste anything

      Build a substitution sheet and use it. Then you can send a 60-row grievance list to an AI tool without exposing a single person

      2 work files 23 min

   3. Five situations, one question - may this tool touch this file at all

      For five real work situations, decide whether a consumer AI tool may be used at all. Write the one-line reason you would give your manager

      3 work files 21 min

   4. Say the AI wrote it, and never let it decide about a person

      Decide which of six deliverables must carry an AI disclosure. Then reject an AI shortlist that ranks people while calling itself neutral

      4 work files 23 min
4. Week 4

   Week 4 · Writing, data and handover

   Shared core

   1. Draft it, cut it, then make the Hindi sound like a person wrote it

      Restructure a customer notice. Summarise it in five lines. Translate it into Hindi. Then fix the three places the output goes stilted

      3 work files 22 min

   2. From a broken export to a pivot your manager can read out

      Turn a 1,240-line sales export into a clean table and a region pivot. Then get the single average-order-value figure your manager asked for

      2 work files 23 min

   3. Write the email, the chat line and the note that says I do not know yet

      For one delayed project, draft the client email, the internal chat message and the meeting note. Then escalate the one thing you cannot answer

      3 work files 21 min

   4. Turn what worked into a prompt library your team can pick up

      Package your six best prompts into a dated, reviewable library. Your team should use it on Monday without asking you how it works

      3 work files 22 min
5. Week 5

   Week 5 · Healthcare Operations

   This profession

   1. Audit the AI code set against the discharge summary

      Audit an AI-suggested ICD-10-CM and CPT code set for a four-day inpatient stay against the discharge summary. Hand your lead an override log naming every code you changed and why

      5 work files 24 min

   2. Write the query the AI could not

      Write a compliant physician query for a chart the coding engine could not resolve. Present the documented clinical indicators, and never steer the physician to an answer

      5 work files 23 min

   3. Strip the PHI before the tool sees it

      De-identify a chart extract to Safe Harbor before any AI tool touches it. Choose a tool the business-associate agreement actually covers. Show the substitution log

      6 work files 25 min
6. Week 6

   Week 6 · Healthcare Operations

   This profession

   1. Clear the low-confidence queue without dropping accuracy

      Work a shift of low-confidence coding exceptions to the daily quota. Hold 95 per cent line-item accuracy. Defend every chart you cleared to the QA sample

      5 work files 26 min

   2. Find the pattern in the denials, then appeal it

      Read a week of denials off the remittance file. Find the one root cause behind the cluster. Draft the appeal, and verify every citation in it before it goes to the payer

      6 work files 25 min
7. Week 7

   Week 7 · Healthcare Operations

   This profession

   1. Code the verbatim, then write the narrative

      Code a spontaneous adverse event report to MedDRA preferred terms. Assess seriousness against the criteria. Correct an AI-drafted case narrative before the 15-day clock runs

      6 work files 24 min

   2. Link the ABHA, raise the pre-auth, honour the consent

      Register a walk-in admission. Link the ABHA only with recorded consent. Get the TPA cashless pre-authorisation pack out inside the hour, and send nothing the consent does not cover

      6 work files 24 min
8. Week 8

   Week 8 · Dossier and evaluation

   Dossier and evaluation

   1. Ten-chart coding audit pack

      A four-page PDF plus two working files.

   2. Clear AI-suggested codes against the chart and answer a denial you did not raise

      A 25-minute timed practical on an unseen folder with 5 seeded defects, then 10 minutes of questions answered in writing.

      25 min

What you’ll build

The dossier an employer reads.

How you’re assessed

Four axes, one unseen folder.

The certificate

What it says, and how it is checked.

Certificate of Achievement Certificate of Completion

How each one is earned

• Completion: every module of the course, done.
• Achievement: pass the final evaluation at 60 % or above.
• Distinction: 80 % or above on the same evaluation.

Certified with DistinctionCertifiedNot yet certified

The four axes

Every evaluation is scored on the same four questions.

1. 1
   Output quality

   Is the deliverable correct, complete and in a form the employer could use unedited?

2. 2
   Errors caught

   How many of the seeded defects did the candidate find, and did they document each one?

3. 3
   Data safety

   Was personal or client data redacted before any AI tool saw it, and can the candidate show the substitution?

4. 4
   Judgment under uncertainty

   When the candidate could not verify something, did they escalate, ask, or invent?

Who teaches you

A tutor that reads the same files you do.

Questions

About this course

Related courses

Other desks on the same core.

• Every file is synthetic.

  All learner-facing material is synthetic. No real client ledgers, GSTINs, PANs, resumes, patient charts, MRNs or ABHA addresses appear anywhere.

• What the certificate is.

  The certificate is evidence of supervised AI competence in a named profession. It is not a promise of a job, a placement or a salary.

• You pay once.

  There is no subscription, no auto-renewal and no card details stored. Your access runs for the term stated on the course page.

• The practical is timed, not filmed.

  The practical is a timed sitting on an unseen folder, and the questions after it are answered in writing. There is no camera and no screen recording: your browser reports how long the window was hidden and how many characters you pasted - never what you pasted. Nothing is decided by that timeline. It is kept with your attempt record; no deletion date is set for it, and the privacy page says how to ask for it to be deleted.