Certified Inpatient Medical Coder

What You'll Do8

• Analyze inpatient medical records to verify accurate ICD-10-CM and ICD-10-PCS coding according to current guidelines.
• Check clinical documentation for completeness, accuracy, and coding integrity.
• Determine principal and secondary diagnoses, sequence codes per Official Guidelines, and assign Present on Admission (POA) indicators.
• Validate MS-DRG assignment, including identification of CCs and MCCs, and flag hospital-acquired conditions (HACs) and patient safety indicators.
• Compare AI-generated clinical notes and summaries with real-world documentation and coding standards.
• Code diagnostic and procedural information from AI-generated content using ICD-10-CM and ICD-10-PCS systems.
• Resolve discrepancies in diagnosis and procedure coding to maintain record abstraction and data capture integrity.
• Provide written feedback on coding errors and complex cases to help improve model performance.

Requirements8

• Active certification such as CIC, CCS, or another AHIMA or AAPC credential (e.g., RHIA, RHIT, COC).
• Experience with inpatient ICD-10-CM/PCS coding.
• Access to current official ICD-10-CM/PCS coding books and Coding Clinic guidance.
• Current work in inpatient medical coding, clinical documentation improvement, or a closely related documentation role.
• Availability of at least 10 hours per week.
• Strong attention to detail and ability to identify coding discrepancies.
• Comfort evaluating AI-generated clinical content against documentation standards.
• Clear written communication skills for providing feedback on coding errors.

Who Should Apply

Certified inpatient coders with active CIC, CCS, or equivalent AHIMA/AAPC credentials and hands-on ICD-10-CM/PCS experience. You should currently work in inpatient coding or CDI and have at least 10 hours per week to contribute. Familiarity with MS-DRG validation and POA indicators is key.

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