An opportunity is available for an Inpatient Coder (ICD-10 / CCS / CIC) to support AI development and evaluation projects. There are currently 5 openings available.
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Job Responsibilities
- Annotate and review inpatient medical records, including admission notes, progress notes, operative reports, consults, lab and imaging results, and discharge summaries, ensuring precise ICD-10-CM and ICD-10-PCS code assignment based on documentation.
- Identify principal and secondary diagnoses, sequence codes according to guidelines, assign Present on Admission (POA) indicators, and validate MS-DRG assignment, including the identification of CCs and MCCs, to verify and enrich data sets.
- Apply inpatient-specific coding conventions, such as UHDDS definitions, ICD-10-CM/PCS Official Guidelines for Coding and Reporting, and AHA Coding Clinic guidance, while identifying hospital-acquired conditions (HACs) and patient safety indicators.
- Collaborate with project stakeholders using both written and verbal communication to clarify requirements, resolve documentation ambiguities, and ensure data integrity.
- Deliver high-quality feedback on coding guidelines and complex cases to support project workflow improvements and enhance AI model understanding.
- Ensure accuracy and completeness of all coding-related annotations per current best practices and coding standards.
Compensation: $50 - $70/hr.
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Location / Region: Remote.
Relevant skills include:
- Icd-10-cm coding
- Icd-10-pcs coding
- Ms-drg assignment
- Clinical documentation review
- Ccs or cic certification
- Coding guideline interpretation
- Medical record annotation
- Written and verbal communication
- Attention to detail
- Data quality assurance
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