Certified Inpatient Medical Coder

ESR Healthcare; United States; Remote; USD 55,000 - 83,000; Part time

Job summary

ESR Healthcare is seeking a Certified Inpatient Medical Coder to work remotely in the United States on a contract basis. The role requires analyzing inpatient records, ensuring compliant ICD-10-CM/PCS coding, and validating MS-DRG assignments with attention to CCs/MCCs and HACs.

The candidate will review AI-generated notes and provide actionable feedback to improve model performance. Ideal applicants hold CIC/CCS or AHIMA/AAPC credentials, have inpatient coding experience, access to Coding

Qualifications

• Active certification in CIC or CCS or AHIMA/AAPC certs (e.g., RHIA, RHIT, COC).
• Inpatient ICD-10-CM/PCS coding experience.
• Access to up-to-date ICD-10-CM/PCS coding books and Coding Clinic guidance.
• Availability of at least 10 hours per week.

Responsibilities

• Review inpatient medical records to ensure accurate ICD-10-CM/PCS coding per guidelines.
• Review clinical documentation for accuracy, completeness, and coding integrity.
• Identify principal and secondary diagnoses and sequence codes per Official Guidelines; assign POA indicators.
• Validate MS-DRG assignment, including CCs and MCCs; flag HACs and patient safety indicators.
• Evaluate AI-generated notes against real-world documentation and coding standards.
• Code AI-generated information using ICD-10-CM/PCS classification.
• Identify and resolve discrepancies to maintain data integrity.
• Provide written feedback on coding errors to improve model performance.

Skills

ICD-10-CM coding

Education

CIC or CCS or AHIMA/AAPC certification

Tools

Coding Clinic guidance

Job description

Certified Inpatient Medical Coder

https://jobs.micro1.ai/post/8e9b3e88-5bdc-4bbd-92bb-09a5a36b4e40?referralCode=1761f2a1-0970-4c4f-a273-a1b557d5ad9f&utm_source=referral&utm_medium=share&utm_campaign=job_referral

Role Type: Contractor

Location: United States, Remote

Scope of Work

1. 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.
2. Review clinical documentation for accuracy, completeness, and coding integrity.
3. Identify principal and secondary diagnoses, sequence codes per the Official Guidelines, and assign Present on Admission (POA) indicators.
4. Validate MS-DRG assignment, including identification of CCs and MCCs, and flag hospital-acquired conditions (HACs) and patient safety indicators.
5. Evaluate AI-generated clinical notes and summaries against real-world documentation and coding standards.
6. Code AI-generated diagnostic and procedural information from the record using ICD-10-CM and ICD-10-PCS classification systems.
7. Identify and resolve discrepancies in diagnosis and procedure coding, ensuring the integrity of record abstraction and data capture.
8. Provide clear written feedback on coding errors and complex cases to improve model performance.

Preferred Qualifications

1. Active certification in one of the following: CIC or CCS, or other coding certification through AHIMA and AAPC (e.g., RHIA, RHIT, COC).
2. Inpatient ICD-10-CM/PCS coding experience.
3. Access to up-to-date official ICD-10-CM/PCS coding books and Coding Clinic guidance.
4. Currently working in inpatient medical coding, clinical documentation improvement, or a closely related documentation role.
5. Availability of at least 10 hours per week.