Certified Inpatient Medical Coder

Role Title: Certified Inpatient Medical Coder

Role Type: Contractor

Location: United States, Remote

micro1 is engaging a Certified Inpatient Medical Coder to contribute to a customer's project focused on enhancing medical data accuracy and integrity. In this role, you'll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input.
Scope of Work

- Review and analyze inpatient medical records to ensure accurate ICD-10-CM and ICD-10-PCS coding in alignment with current guidelines and best practices.

- Review clinical documentation for accuracy, completeness, and coding integrity.

- Identify principal and secondary diagnoses, sequence codes per the 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.

- Evaluate AI-generated clinical notes and summaries against real-world documentation and coding standards.

- Code AI-generated diagnostic and procedural information from the record using ICD-10-CM and ICD-10-PCS classification systems.

- Identify and resolve discrepancies in diagnosis and procedure coding, ensuring the integrity of record abstraction and data capture.

- Provide clear written feedback on coding errors and complex cases to improve model performance.

Preferred Qualifications

- Active certification in one of the following: CIC or CCS, or other coding certification through AHIMA and AAPC (e.g., RHIA, RHIT, COC).

- Inpatient ICD-10-CM/PCS coding experience.

- Access to up-to-date official ICD-10-CM/PCS coding books and Coding Clinic guidance.

- Currently working in inpatient medical coding, clinical documentation improvement, or a closely related documentation role.

- Availability of at least 10 hours per week.

Originally posted on Himalayas