Certified Inpatient Coder

Confidential; United States; Remoto; USD 55.000 - 96.000; Part-time

Descrizione del lavoro

Zekai is seeking Certified Inpatient Coders for a 100% remote contract role in the United States. You will review inpatient records, ensure accurate ICD-10-CM/PCS coding, and help train AI systems using real-world data to improve model learning, reasoning, and performance.

Applicants should be actively certified (CIC/CCS or AHIMA/AAPC) with inpatient coding experience, access to current coding references, and the ability to commit at least 10 hours per week.

Competenze

• Active inpatient coding certification (CIC/CCS) or AHIMA/AAPC equivalent.
• Experience with ICD-10-CM/PCS coding for inpatients.
• Access to up-to-date coding resources and guidance.
• Currently employed in inpatient coding or related CDI role.

Mansioni

• Review inpatient medical records to ensure correct ICD-10-CM/PCS coding per guidelines.
• Review clinical documentation for accuracy, completeness and coding integrity.
• Identify principal and secondary diagnoses and POA indicators.
• Validate MS-DRG assignment and flag HACs and patient safety indicators.
• Evaluate AI-generated notes against documentation and coding standards.
• Code AI-generated information from records using ICD-10-CM/PCS.
• Identify and resolve discrepancies in diagnoses and procedures.
• Provide written feedback on coding errors to improve model performance.

Conoscenze

Inpatient ICD-10-CM/PCS coding

AHIMA/AAPC certification

Coding accuracy/review

Formazione

AHIMA/AAPC certification

Strumenti

ICD-10-CM/PCS coding manuals

Descrizione del lavoro

Role Title: Certified Inpatient Coder

Role Type: Contractor

Location: United States, Remote

our partner is engaging Certified Inpatient Coders 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.

This is a 100% remote contract role. Applicants must be located in: United States.