Inpatient Medical Coding & AI Data Quality Specialist (CCS/CIC)

Gramian Consulting Group; United States; Remote; USD 75,000 - 105,000; Full time

Job summary

Gramian Consultancy is seeking an experienced Inpatient Medical Coding Specialist with an active CCS or CIC credential to contribute to AI-focused projects. You will review inpatient records, assign ICD-10-CM/PCS codes, and verify MS-DRG outcomes while applying UHDDS and official guidelines.

The role is fully remote in the United States, with emphasis on accuracy and data integrity. The ideal candidate has hands-on inpatient coding experience, strong knowledge of ICD-10-CM/PCS, MS-DRG

Qualifications

• Requires hands-on inpatient coding experience with active CCS or CIC credentials.
• Proficient in ICD-10-CM/PCS coding and MS-DRG methodology.
• Knowledgeable in UHDDS definitions, POA indicators, CC/MCC classification.
• Ability to review clinical documentation and resolve coding challenges.
• Strong written and verbal communication skills; high attention to detail.

Responsibilities

• Annotate and review inpatient medical records, including notes, operative reports, labs and imaging.
• Assign ICD-10-CM and ICD-10-PCS codes per guidelines.
• Identify principal and secondary diagnoses and sequence codes accordingly.
• Assign POA indicators and validate MS-DRG assignments (CCs/MCCs).
• Apply UHDDS definitions and official coding guidelines and AHA guidance.
• Identify HACs and documentation gaps; flag issues for resolution.
• Provide structured feedback to improve coding guidelines and AI model training.
• Ensure annotations align with current coding standards.

Skills

Inpatient coding

ICD-10-CM/PCS

MS-DRG understanding

POA indicators

UHDDS definitions

Documentation feedback

Strong communication

Attention to detail

Education

AHIMA CCS

AAPC CIC

Tools

MS-DRG grouper tools

ICD coding guidelines

Job description

About the Role

Gramian Consultancy is a boutique consultancy specializing in IT professional services and engineering talent solutions. With a strong background in software engineering and leadership, we help companies build high‑performing teams by matching them with professionals who truly fit their needs.

About the Role

We are seeking an experienced Inpatient Medical Coding Specialist with an active CCS or CIC credential to contribute to a project focused on improving the accuracy and clinical understanding of advanced AI systems. You will review and annotate inpatient medical records, assign and validate ICD-10-CM and ICD-10-PCS codes, determine principal and secondary diagnoses, and verify MS‑DRG assignments. You will apply official inpatient coding guidelines, identify documentation gaps, and provide expert feedback on complex coding cases. The ideal candidate has hands‑on inpatient coding experience, strong knowledge of UHDDS, POA indicators, CC/MCC classification, and current coding standards, and exceptional attention to detail. Prior AI experience is not required.

SENIORITY: Experienced / Specialist

LANGUAGE: Strong written and verbal English

LOCATION: Remote — United States

Key Responsibilities

• Annotate and review inpatient medical records, including admission notes, progress notes, operative reports, consultations, laboratory and imaging results, and discharge summaries.

• Assign accurate ICD-10-CM and ICD-10-PCS codes based on clinical documentation and applicable coding guidelines.

• Identify principal and secondary diagnoses and sequence codes according to official inpatient coding conventions.

• Assign Present on Admission (POA) indicators and validate MS-DRG assignments, including the identification of Complications or Comorbidities (CCs) and Major Complications or Comorbidities (MCCs).

• Apply UHDDS definitions, ICD-10-CM/PCS Official Guidelines for Coding and Reporting, and relevant AHA Coding Clinic guidance.

• Identify hospital-acquired conditions (HACs), patient safety indicators, and documentation inconsistencies where applicable.

• Collaborate with project stakeholders to clarify coding requirements, resolve documentation ambiguities, and maintain data integrity.

• Provide structured feedback on coding guidelines, complex cases, and recurring errors to support workflow improvements and AI model training.

• Ensure all coding annotations are accurate, complete, consistent, and aligned with current coding standards.

• Active AHIMA Certified Coding Specialist (CCS) or AAPC Certified Inpatient Coder (CIC) credential.

• Hands‑on experience with inpatient medical coding.

• Strong knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG methodology.

• Understanding of principal diagnosis selection, secondary diagnosis reporting, code sequencing, POA indicators, CC/MCC classification, and applicable inpatient coding guidelines.

• Experience reviewing clinical documentation and resolving complex coding challenges.

• Strong written and verbal communication skills.

• Excellent attention to detail and the ability to apply coding rules consistently.

• Access to current ICD-10-CM/PCS code sets, official coding guidelines, and appropriate MS-DRG grouper tools.