Medical Chart Reviewer

Micro1

India

Remote

INR 3,234,000 - 5,821,000

Full time

3 days ago
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Job summary

Cashback24x7 is seeking Medical Chart Reviewers for a remote US project. Contractors with CCS/CIC/CPC or RN/clinical credentials will review charts, validate codes, and provide feedback to support AI model training.

The role emphasizes accuracy, adherence to ICD-10-CM/PCS guidelines, and collaboration with stakeholders. Ideal candidates will have chart review or CDI experience and strong attention to detail, plus solid communication skills to resolve documentation ambiguities and ensure data

Qualifications

  • Certified coding credentials (CCS/CIC/CPC) or RN/clinical background with chart review experience.
  • Strong knowledge of ICD-10-CM/PCS and MS-DRG methodology.
  • Experience auditing and coding charts across diverse settings.

Responsibilities

  • Review and audit medical charts to verify accuracy and coding completeness.
  • Validate diagnosis, procedures, POA indicators, and MS-DRG assignments.
  • Apply coding guidelines and identify under- or over-coding and missed CCs/MCCs.
  • Collaborate with stakeholders to clarify requirements and ensure data integrity.
  • Provide high-quality feedback on charts and coding guidelines for process improvements.
  • Ensure findings meet current best practices and coding standards.

Skills

Attention to detail
Verbal communication
Documentation review

Education

CCS
CIC
CPC
RN/clinical credential

Tools

ICD-10-CM
ICD-10-PCS
MS-DRG tools

Job description

Job Description

Role Title: Medical Chart Reviewer

Role Type: Contractor

Location: US - Remotemicro1 is engaging Medical Chart Reviewers (CCS / CIC / CPC certified, or RN / clinical background) to contribute their expertise to a dynamic project for a valued customer. 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. No prior experience in AI is required, your domain knowledge is what matters.

Scope of Work
  • Review and audit medical charts, including admission notes, progress notes, operative reports, consults, lab and imaging results, and discharge summaries, to verify the accuracy and completeness of documentation and assigned codes.
  • Validate diagnosis and procedure coding, sequencing, Present on Admission (POA) indicators, and MS-DRG assignment against the clinical documentation, identifying under-coding, over-coding, and missed CCs and MCCs.
  • Apply clinical and coding standards, including the ICD-10-CM/PCS Official Guidelines for Coding and Reporting, AHA Coding Clinic guidance, and clinical validation criteria, while flagging documentation gaps and query opportunities.
  • 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 charts, coding guidelines, and complex cases to support project workflow improvements and enhance AI model understanding.
  • Ensure accuracy and completeness of all review findings per current best practices and coding standards.
Preferred Qualifications
  • Active AHIMA Certified Coding Specialist (CCS), AAPC Certified Inpatient Coder (CIC), AAPC Certified Professional Coder (CPC), or an RN / clinical credential with chart review or CDI experience.
  • Thorough expertise in ICD-10-CM, ICD-10-PCS, and MS-DRG methodology, with hands-on experience in chart review, coding audit, or clinical documentation improvement (CDI).
  • Experience reviewing charts in diverse settings, such as acute care, teaching hospitals, specialty units, surgical, trauma, oncology, cardiology, and transplant cases.
  • Proficiency in reviewing various types of clinical documentation and identifying discrepancies or complex coding challenges.
  • Strong written and verbal communication skills, demonstrating meticulous attention to detail and clarity.
  • Access to current ICD-10-CM and ICD-10-PCS code sets, Official Coding Guidelines, and MS-DRG grouper tools.
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