Inpatient Medical Coding, AI Data Quality Specialist (CCS/CIC)

This is a fully remote position, open to applicants in United States.

📋 Description

• Review and annotate inpatient medical records, which include admission notes, progress notes, operative reports, consultations, laboratory and imaging results, and discharge summaries.

• Accurately assign ICD-10-CM and ICD-10-PCS codes in accordance with clinical documentation and relevant coding guidelines.

• Determine principal and secondary diagnoses and sequence codes following official inpatient coding conventions.

• Allocate Present on Admission (POA) indicators and confirm MS-DRG assignments, including the identification of Complications or Comorbidities (CCs) and Major Complications or Comorbidities (MCCs).

• Implement UHDDS definitions, adhere to ICD-10-CM/PCS Official Guidelines for Coding and Reporting, and apply pertinent AHA Coding Clinic guidance.

• Recognize hospital-acquired conditions (HACs), patient safety indicators, and any inconsistencies in documentation when applicable.

• Collaborate with project stakeholders to clarify coding requirements, resolve ambiguities in documentation, and ensure data integrity.

• Offer structured feedback related to coding guidelines, complex cases, and recurring errors to foster workflow enhancements and support AI model training.

• Confirm that all coding annotations are accurate, complete, consistent, and compliant with current coding standards.

⛳️ Requirements

• Active AHIMA Certified Coding Specialist (CCS) or AAPC Certified Inpatient Coder (CIC) credential is required.

• Practical experience in inpatient medical coding.

• In-depth knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG methodology.

• Familiarity with the selection of principal diagnoses, reporting of secondary diagnoses, code sequencing, POA indicators, and CC/MCC classification, as well as relevant inpatient coding guidelines.

• Experience in reviewing clinical documentation and addressing complex coding challenges.

• Strong written and verbal communication abilities.

• Exceptional attention to detail and the capability to consistently apply coding rules.

• Access to up-to-date ICD-10-CM/PCS code sets, official coding guidelines, and appropriate MS-DRG grouper tools.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health, dental, and vision insurance.

• Opportunities for professional development and continuing education.

• Flexible work hours and the possibility of remote work.

• Supportive team environment with a focus on collaboration and innovation.