Certified Inpatient Coder

Pro Integrate LLC; New York (NY); Remote; USD 55,000 - 83,000; Full time

Job summary

Pro Integrate LLC is seeking a Certified Inpatient Coder for a remote contractor role in the United States. You will review inpatient records, ensure ICD-10-CM/PCS coding accuracy, and validate DRG assignments while adhering to official guidelines.

Responsibilities include evaluating clinical documentation, flagging HACs/MCCs, and providing feedback to improve model performance on AI-generated notes. Availability of at least 10 hours per week required.

Qualifications

• Active certification in CIC or CCS, or AHIMA/AAPC credential examples (RHIA, RHIT, COC).
• Inpatient ICD-10-CM/PCS coding experience.
• Access to up-to-date ICD-10-CM/PCS books and guidelines such as Coding Clinic.
• Currently working in inpatient coding, clinical documentation improvement, or related role.
• Availability of at least 10 hours per week.

Responsibilities

• Review inpatient medical records to ensure accurate ICD-10-CM and ICD-10-PCS coding per guidelines.
• Review clinical documentation for accuracy, completeness and coding integrity.
• Identify principal/secondary diagnoses, sequence codes per Official Guidelines, and POA indicators.
• Validate MS-DRG assignment and flag CCs/MCCs and HACs/PSSI.
• Evaluate AI-generated notes vs real documentation and coding standards.
• Code AI-generated clinical information using ICD-10-CM and ICD-10-PCS.
• Identify/resolved discrepancies in diagnosis/procedure coding to maintain data integrity.
• Provide written feedback on coding errors and complex cases to improve model performance.

Skills

Inpatient Coding

ICD-10-CM/PCS

CIC

CPC

AAPC

CPT

Job description

Role Title: Certified Inpatient Coder
Role Type: Contractor
Location: United States, Remote
Required Skills: Inpatient Coding Inpatient Records ICD-10 CIC CPC AAPC CPT

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.