Certified Inpatient Medical Coder

The work

Assess inpatient documentation and coding to improve AI medical data accuracy. Review clinical records and generated notes, resolve coding discrepancies and explain difficult cases using current inpatient coding guidance.

• Check inpatient records against ICD-10-CM and ICD-10-PCS standards and current official guidance.
• Assess whether clinical documentation is complete, accurate and consistent with coding requirements.
• Determine principal and secondary diagnoses, apply correct sequencing and assign Present on Admission indicators.
• Validate MS-DRGs, identify CCs and MCCs, and flag hospital acquired conditions and patient safety indicators.
• Compare generated clinical notes and summaries with practical documentation expectations.
• Code generated diagnostic and procedure information from the record.
• Resolve abstraction and coding discrepancies and provide clear written explanations of errors and complex cases.

Preferred experience and skills

• Preferred candidates hold an active CIC, CCS or another relevant AHIMA or AAPC credential such as RHIA, RHIT or COC.
• Practical inpatient ICD-10-CM/PCS coding experience.
• Access to current official coding books and Coding Clinic guidance.
• Current work in inpatient coding, clinical documentation improvement or a closely related record review role.
• Availability for at least 10 hours per week.

Working arrangements

This contractor opportunity is remote within the United States.