Certified Inpatient Coder

Inpatient coding review

Help improve medical data accuracy by evaluating inpatient records and AI generated clinical documentation. Assess coding completeness and integrity against official guidance and practical documentation standards.

• Review ICD-10-CM and ICD-10-PCS coding in inpatient medical records.
• Identify principal and secondary diagnoses, sequence codes under the Official Guidelines and assign Present on Admission indicators.
• Validate MS-DRGs, including complications or comorbidities and major complications or comorbidities.
• Flag hospital-acquired conditions and patient safety indicators.
• Evaluate generated clinical notes and summaries, and code diagnostic and procedural information from the record.
• Resolve coding discrepancies and provide clear feedback on errors and difficult cases.

Preferred qualifications

Active CIC or CCS certification is preferred, with other AHIMA or AAPC credentials such as RHIA, RHIT or COC also listed. Relevant experience includes inpatient ICD-10-CM/PCS coding and current work in inpatient coding, clinical documentation improvement or a closely related documentation role.

Access to current official coding books and Coding Clinic guidance is preferred, along with availability of at least 10 hours per week.

Arrangement

This is a contractor role conducted remotely within the United States.