Medical Coding Specialist

What You'll Do6

• Check inpatient medical records for correct ICD-10-CM and ICD-10-PCS coding that follows current official guidelines.
• Identify the principal diagnosis and all secondary diagnoses for each admission, then evaluate how MCCs, CCs, and procedures influence DRG assignment.
• Examine clinical documentation for completeness and accuracy, and note cases where a provider query may be needed.
• Compare AI-generated clinical notes, summaries, and code suggestions with actual documentation and inpatient coding standards.
• Resolve discrepancies between diagnosis and procedure codes to maintain data integrity.
• Enter and verify AI-generated patient information in inpatient medical record and encoder systems.

Requirements5

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

Who Should Apply

Certified inpatient coders (CIC, CCS, RHIA, RHIT, or equivalent) who currently work in inpatient coding, CDI, or a similar role and can commit at least 10 hours per week. You should be comfortable with ICD-10-CM, ICD-10-PCS, DRG assignment, and MCC/CC concepts, and have access to current coding guidelines.

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