Medical Coder (CCS / CIC)

Role Overview

Apply inpatient coding expertise to help improve next-generation AI systems through high-quality, real-world medical record review and annotation. This remote contract role focuses on precise ICD-10-CM, ICD-10-PCS, and MS-DRG coding work. Prior AI experience is not required.

Key Responsibilities

• Annotate and review inpatient medical records, including admission and progress notes, operative reports, consultations, laboratory and imaging results, and discharge summaries.
• Assign accurate ICD-10-CM and ICD-10-PCS codes based on clinical documentation.
• Identify principal and secondary diagnoses, sequence codes under applicable guidelines, assign Present on Admission indicators, and validate MS-DRG assignments.
• Identify CCs and MCCs to verify and enrich datasets.
• Apply inpatient coding standards, including UHDDS definitions, ICD-10-CM/PCS Official Guidelines for Coding and Reporting, and AHA Coding Clinic guidance.
• Identify hospital-acquired conditions and patient safety indicators.
• Work with project stakeholders through written and verbal communication to clarify requirements, resolve documentation ambiguities, and maintain data integrity.
• Provide feedback on coding guidelines and complex cases to improve project workflows and model understanding.
• Ensure all coding annotations are accurate, complete, and aligned with current coding standards and best practices.

Qualifications

• Active AHIMA Certified Coding Specialist credential or AAPC Certified Inpatient Coder credential.
• Hands-on inpatient coding experience and thorough knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG methodology.
• Experience coding across inpatient settings such as acute care, teaching hospitals, specialty units, surgical, trauma, oncology, cardiology, and transplant cases.
• Ability to review varied clinical documentation and address complex coding questions.
• Strong written and verbal communication skills, meticulous attention to detail, coding-guideline interpretation skills, and commitment to data quality assurance.
• Access to current ICD-10-CM and ICD-10-PCS code sets, Official Coding Guidelines, and MS-DRG grouper tools.

Work Terms

• Remote contract engagement, open to candidates located in the United States.

Compensation

• $50 to $70 per hour.

Application Process

• Submit an application by email or through the available application options. Continuing an application confirms acknowledgement of the candidate Terms and Privacy Policy.