Coding Auditor

K-Tek Resourcing; Texas City (TX); Teletrabalho; USD 55 000 - 96 000; Tempo parcial

Resumo da oferta

K-Tek Resourcing is seeking a Coding Author (Contractor) to create training materials for medical coding models. You will develop scenarios, keys, and rationales covering inpatient, outpatient, and professional settings, applying ICD-10-CM/PCS, CPT, and HCPCS coding conventions.

Required credentials include active CCS, CIC, or CPC, with strong written communication and attention to detail. Collaboration with stakeholders will ensure high-quality, guideline-aligned content for AI training

Qualificações

• Active AHIMA CCS, CIC, or CPC credential preferred.
• Expertise in ICD-10-CM, ICD-10-PCS, CPT, and HCPCS.
• Experience writing or reviewing training materials or exams.

Responsabilidades

• Author realistic medical coding scenarios with ICD-10-CM/PCS, CPT, HCPCS codes.
• Write answer keys and rationales with guidelines and coding conventions.
• Build evaluation rubrics and test cases for AI model assessment.
• Review content for accuracy and alignment with official guidelines.
• Collaborate with stakeholders to clarify requirements and ensure data integrity.
• Provide feedback on coding guidelines and complex cases.

Conhecimentos

Medical coding knowledge

Strong writing

Attention to detail

Verbal communication

Formação académica

AHIMA CCS / AAPC CIC / CPC credential

Descrição da oferta de emprego

Job Description

Role Title: Coding Author

Role Type: Contractor

Location: US - Remote

Engaging Coding Authors (CCS / CIC / CPC certified) to contribute their expertise to a dynamic project for a valued customer. In this role, you’ll apply your coding expertise to create the training material that helps next-generation AI systems learn, reason, and perform. Your work will shape how models understand real-world medical coding. No prior experience in AI is required, your domain knowledge is what matters.

Scope of Work

1. Author realistic medical coding scenarios, clinical documentation excerpts, and coding questions across inpatient, outpatient, and professional fee settings, with accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS code assignment.
2. Write detailed answer keys and rationales that explain code selection, sequencing, modifiers, and Present on Admission (POA) indicators, citing the relevant official guidelines and coding conventions.
3. Build evaluation rubrics and test cases of varying difficulty, including complex and ambiguous documentation, to assess how well AI models apply coding rules.
4. Review and revise existing coding content for accuracy, clarity, and alignment with current ICD-10-CM/PCS Official Guidelines, AHA Coding Clinic, and CPT guidance.
5. Collaborate with project stakeholders using both written and verbal communication to clarify requirements, resolve documentation ambiguities, and ensure data integrity.
6. Deliver high-quality feedback on coding guidelines and complex cases to support project workflow improvements and enhance AI model understanding.

Preferred Qualifications

1. Active AHIMA Certified Coding Specialist (CCS), AAPC Certified Inpatient Coder (CIC), or AAPC Certified Professional Coder (CPC) credential.
2. Thorough expertise in ICD-10-CM, ICD-10-PCS, and CPT, with hands-on coding experience in a hospital, physician practice, or coding audit setting.
3. Experience writing or reviewing coding content, such as training materials, audit findings, coder education, or exam preparation.
4. Ability to explain complex coding decisions clearly and concisely in writing.
5. Strong written and verbal communication skills, demonstrating meticulous attention to detail and clarity.
6. Access to current ICD-10-CM, ICD-10-PCS, and CPT code sets and Official Coding Guidelines.

Company Description

K-Tek Resourcing is a consulting organization with offices in Houston TX and St. Paul, MN. It is supported by 2 global delivery centers, located in India. With its global employee strength of over 250, K-Tek has been supporting its clients for over 9 years.

Why K-Tek
K-Tek has a tenet of excelling at delivering resources and solutions based on its experience, integrity, distinction in delivery, reduced turn-around time and the consistency at being the "First Time Right".

Vision / Mission
At K-Tek we believe in understanding the specific needs of the customer and tailor-creating innovative solutions to meet these needs. We invest in our employees and customers. We build a relation of trust with our customers through empathy, solutions and being the first time right.

K-Tek Resourcing LLC is one of the leaders in Resourcing industry with a portfolio of over 300+ consultants working at different client’s sites. Our commitment to compliance, excellent client servicing and superior quality has positioned us for sustained success.