Certified Inpatient Coder - Remote

Job Description Job Description: Certified Inpatient Coder Role Type: Contractor Location: United States (Remote) Job Summary We are seeking experienced Certified Inpatient Coders to support a project focused on improving medical coding accuracy, clinical documentation quality, and healthcare data integrity. In this role, you will apply your expertise in inpatient coding to review medical records, validate diagnosis and procedure codes, assess AI-generated clinical documentation, and ensure compliance with official coding guidelines. Your feedback will help improve the accuracy and reliability of AI systems used in healthcare. Scope of Work Review and analyze inpatient medical records to ensure accurate ICD-10-CM and ICD-10-PCS coding in accordance with current official guidelines and industry best practices. Evaluate clinical documentation for accuracy, completeness, consistency, and coding integrity. Identify principal and secondary diagnoses, sequence codes according to the Official Guidelines for Coding and Reporting, and assign Present on Admission (POA) indicators. Validate Medicare Severity Diagnosis-Related Group (MS-DRG) assignments, including the identification of Complications or Comorbidities (CCs) and Major Complications or Comorbidities (MCCs), and flag Hospital-Acquired Conditions (HACs) and relevant patient safety indicators. Evaluate AI-generated clinical notes and summaries against source medical records and established coding standards. Validate and assign appropriate diagnostic and procedural codes using ICD-10-CM and ICD-10-PCS classification systems. Identify and resolve discrepancies in diagnosis and procedure coding to maintain accurate record abstraction and data integrity. Provide clear, detailed written feedback on coding errors, documentation gaps, and complex cases to support continuous improvement in AI model performance. Preferred Qualifications Active certification in one or more of the following: Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Outpatient Coder (COC), or another recognized AHIMA or AAPC coding certification. Hands‑on experience with inpatient ICD-10-CM and ICD-10-PCS coding. Access to up‑to‑date official ICD-10-CM/PCS coding references and authoritative Coding Clinic guidance. Current experience in inpatient medical coding, clinical documentation improvement (CDI), or a closely related healthcare documentation role. Availability to contribute at least 10 hours per week. Strong knowledge of inpatient coding guidelines, diagnosis sequencing, POA indicators, and MS-DRG assignment. Excellent analytical skills, attention to detail, and the ability to identify and explain coding discrepancies. Ability to work independently, follow established guidelines, and maintain high standards of accuracy and quality. Ideal Candidate Profile The ideal candidate is a certified inpatient coding professional with practical experience in ICD-10-CM/PCS coding, diagnosis sequencing, POA reporting, and MS-DRG validation. They can critically evaluate medical documentation, identify coding inconsistencies, and provide actionable feedback to improve the accuracy and reliability of AI-generated healthcare data. #J-18808-Ljbffr YO AI Labs