Inpatient Medical Coder

About the work

Review inpatient records, code assignments, and AI clinical summaries for accuracy and completeness. This remote US contract values active coding credentials, current inpatient coding experience, and availability of at least ten hours per week.

Responsibilities

• Review inpatient medical records to ensure accurate ICD-10-CM and ICD-10-PCS coding in line with current guidelines.
• Determine the principal and secondary diagnoses for the full admission and assess how MCCs, CCs, and procedures affect DRG assignment.
• Review clinical documentation for accuracy and completeness, and flag opportunities for provider queries.
• Evaluate AI-generated clinical notes, summaries, and code suggestions against real-world documentation and inpatient coding standards.
• Identify and resolve diagnosis and procedure coding discrepancies to protect data integrity.
• Enter and validate AI-generated patient information in inpatient medical record and encoder systems.

Preferred background

• Active coding certification such as CIC, CCS, RHIA, or RHIT, or another AHIMA or AAPC coding credential.
• Inpatient ICD-10-CM and ICD-10-PCS coding experience, including DRG, MCC/CC, and POA concepts.
• Access to current official ICD-10 code sets and guidelines, and familiarity with AHA Coding Clinic.
• Currently working in inpatient coding, clinical documentation improvement, or a closely related role.
• Availability of at least 10 hours per week.