Medical Billing and Coding Specialist (Remote | $50–$70/hr)

Synthires; California; Remote; USD 69,000 - 96,000; Full time

Job summary

Synthires is seeking experienced Medical Coders to join a fully remote project focused on training AI systems through clinical documentation review and precise coding. You will assign ICD-10-CM/PCS, CPT, and HCPCS codes, review complex cases, and provide feedback to improve AI understanding of medical records.

The role emphasizes professional coding knowledge, strong attention to detail, and effective communication; no prior AI experience is required.

Qualifications

• Certification CCS (AHIMA) or CPC (AAPC) required.
• Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding.
• Experience coding from medical records with attention to accuracy.

Responsibilities

• Review and annotate medical records with ICD-10-CM/PCS, CPT, and HCPCS codes.
• Identify principal and secondary diagnoses and code sequencing per guidelines.
• Apply modifiers and POA indicators; follow Official Guidelines for Coding and Reporting.

Job description

We are seeking experienced Medical Coders with strong knowledge of clinical documentation and medical coding standards to contribute to a project focused on training and improving advanced AI systems.

In this role, you will apply your medical coding expertise to review and annotate real-world medical records, assign accurate diagnostic and procedural codes, and evaluate complex coding cases. Your work will help improve how AI systems interpret clinical documentation, apply coding guidelines, and make accurate coding decisions.

No prior AI experience is required. Your professional coding knowledge and attention to detail are what matter most.

Key Responsibilities

• Review and annotate medical records, including encounter notes, progress notes, operative reports, consultations, laboratory and imaging results, and discharge summaries.
• Assign accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on clinical documentation.
• Identify principal and secondary diagnoses and sequence codes according to applicable coding guidelines.
• Assign appropriate modifiers and Present on Admission (POA) indicators where applicable.
• Apply official coding conventions, including the Official Guidelines for Coding and Reporting and AHA Coding Clinic guidance.
• Identify documentation gaps, inconsistencies, and opportunities for provider queries.
• Review complex coding cases and ensure the accuracy and completeness of coding annotations.
• Collaborate with project stakeholders to clarify requirements, resolve documentation ambiguities, and maintain data integrity.
• Provide detailed feedback on coding guidelines and challenging cases to improve project workflows and AI model understanding.

Required Qualifications

• Active professional certification through one of the following:
• AHIMA Certified Coding Specialist (CCS)
• AAPC Certified Professional Coder (CPC)
• Thorough knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding.
• Hands-on experience assigning codes based on medical records and clinical documentation.
• Understanding of official coding conventions, code sequencing, and reporting requirements.
• Ability to identify documentation gaps and determine when clarification or a query is necessary.
• Strong attention to detail and accuracy when reviewing clinical records.
• Effective written and verbal communication skills.
• Ability to collaborate with stakeholders and resolve complex coding challenges.

Preferred Qualifications

• Experience coding across multiple healthcare settings, including:
• Outpatient services
• Proficiency in reviewing and coding different types of clinical documentation.
• Experience handling complex coding scenarios and documentation ambiguities.
• Access to current ICD-10-CM, ICD-10-PCS, and CPT code sets, along with the Official Coding Guidelines.
• Familiarity with data annotation, medical record review, or clinical data quality processes.

Compensation & Engagement

• Compensation: $50-$70 per hour.
• Work Arrangement: Fully remote within the United States.