Inpatient Coding Expert - Fully Remote | Upto $150/hr

Visa Hunt; San Francisco (CA); Hybrid; GBP 51,000 - 153,000; Full time

Job summary

Mercor is seeking a Clinical Documentation Integrity (CDI) Specialist for a remote contract role. You will review AI-agent CDI/coding attempts, judge accuracy, and ensure proper DRG recomputation and documentation in the record.

Responsibilities include identifying fabricated or overstated work, verifying cited labs and encounters, and writing clear, specific rationales for approval or denial on each attempt, while maintaining compliance and quality standards.

Qualifications

• 2+ years inpatient hospital CDI experience required.
• Experience with ICD-10-CM/PCS and MS-DRGs.
• Ability to spot unsupported diagnoses and craft queries.
• Credentials: CCDS/CDIP/CCS or RHIA/RHIT or RN with CDI background.
• Comfort using CAC/CDI software and reviewing full clinical records.

Responsibilities

• Review AI-agent CDI attempts and judge correctness and support in the record.
• Confirm work is completed, codes updated, holds placed, DRG recomputed, and notes filed.
• Identify fabricated or overstated work and verify labs/docs/encounters exist.
• Ensure proper action on each chart: verify-before-finalize for code changes or queries.
• Write clear, specific agree/disagree rationales on each attempt.

Skills

Inpatient CDI experience

DRG coding/auditing

ICD-10-CM/PCS knowledge

RN CDI credentials or equivalent

Education

RHIA/RHIT

CCDS

CDIP

CCS

RN with CDI experience

Tools

CAC/CDI software

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Clinical Documentation Integrity (CDI) Specialist
Type:Contract
Compensation:$50–$150/hour
Location:Remote

Role Responsibilities

• Review AI-agent attempts at realistic CDI/coding tasks. Judge whether each disposition is correct and adequately supported by the record.
• Confirm work is completed and recorded. Ensure codes are changed, queries sent, holds placed, DRG recomputed, and notes and CDI reviews filed.
• Identify fabricated or overstated work. Verify cited labs, documents, or prior encounters exist. Confirm provider responses and DRG or dollar figures are produced by the grouper.
• Judge completeness and apply the right action to the right chart. Require verify-before-finalize for code fix, query, clinical-validation query, or leave-alone decisions.
• Write clear, specific agree/disagree rationales on each attempt.

Qualifications

Must-Have

• 2+ years of professional experience in inpatient hospital CDI, inpatient DRG coding/auditing, or clinical-documentation denial management.
• Current or recent hands-on work under ICD-10-CM/PCS and MS-DRGs.
• Reflexive professional judgment. Ability to spot unsupported diagnoses, leading queries, missed CC/MCCs, or rubber-stamped accounts.
• CCDS, CDIP, CCS, RHIA/RHIT, or RN with CDI experience (or equivalent). Hospital, coding, or HIM background.
• Comfort working inside CAC/CDI software and reading the full clinical record, including H&Ps, consults, progress notes, discharge summaries, labs, and flowsheets.

Originally posted on Himalayas