Medical Chart Reviewer

micro1 Inc.; United States; Remote; USD 55,000 - 83,000; Part time

Job summary

micro1 is seeking Medical Chart Reviewers (CCS/CIC/CPC certified or RN/clinical background) to contribute to training AI systems remotely from the United States. You’ll review charts, validate coding, and ensure high-quality data for model learning to help AI models understand real-world documentation.

This contract role requires thorough knowledge of ICD-10-CM/PCS and MS-DRG guidelines, attention to detail, and clear communication with project stakeholders to resolve ambiguities and ensure data

Qualifications

• Active AHIMA CCS/CIC/CPC or RN/clinical credential with chart review experience.
• Expertise in ICD-10-CM/ICD-10-PCS and MS-DRG methodology.
• Experience reviewing charts across acute care, teaching hospitals, surgical, trauma, oncology, and transplant.
• Strong written and verbal communication with attention to detail.
• Access to current ICD-10-CM/PCS coding guidelines and MS-DRG tools.

Responsibilities

• Review and audit medical charts to verify accuracy and completeness of documentation and codes.
• Validate diagnosis, procedure coding, POA indicators, and MS-DRG assignment.
• Apply coding guidelines and flag documentation gaps and query opportunities.
• Collaborate with stakeholders to clarify requirements and resolve ambiguities.
• Provide high-quality feedback to support workflow improvements and AI model learning.
• Ensure accuracy and completeness per current best practices and coding standards.

Skills

Attention to detail

Written and verbal communication

Healthcare coding knowledge

Chart review experience

Education

CCS/CIC/CPC certification or RN/clinical credential

Tools

ICD-10-CM/PCS knowledge

MS-DRG methodology

Job description

Role Title: Medical Chart Reviewer

Role Type: Contractor

Location: US - Remote

micro1 is engaging Medical Chart Reviewers (CCS / CIC / CPC certified, or RN / clinical background) to contribute their expertise to a dynamic project for a valued customer. In this role, you’ll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. No prior experience in AI is required, your domain knowledge is what matters.

Scope of Work

1. Review and audit medical charts, including admission notes, progress notes, operative reports, consults, lab and imaging results, and discharge summaries, to verify the accuracy and completeness of documentation and assigned codes.
2. Validate diagnosis and procedure coding, sequencing, Present on Admission (POA) indicators, and MS-DRG assignment against the clinical documentation, identifying under-coding, over-coding, and missed CCs and MCCs.
3. Apply clinical and coding standards, including the ICD-10-CM/PCS Official Guidelines for Coding and Reporting, AHA Coding Clinic guidance, and clinical validation criteria, while flagging documentation gaps and query opportunities.
4. Collaborate with project stakeholders using both written and verbal communication to clarify requirements, resolve documentation ambiguities, and ensure data integrity.
5. Deliver high-quality feedback on charts, coding guidelines, and complex cases to support project workflow improvements and enhance AI model understanding.
6. Ensure accuracy and completeness of all review findings per current best practices and coding standards.

Preferred Qualifications

1. Active AHIMA Certified Coding Specialist (CCS), AAPC Certified Inpatient Coder (CIC), AAPC Certified Professional Coder (CPC), or an RN / clinical credential with chart review or CDI experience.
2. Thorough expertise in ICD-10-CM, ICD-10-PCS, and MS-DRG methodology, with hands-on experience in chart review, coding audit, or clinical documentation improvement (CDI).
3. Experience reviewing charts in diverse settings, such as acute care, teaching hospitals, specialty units, surgical, trauma, oncology, cardiology, and transplant cases.
4. Proficiency in reviewing various types of clinical documentation and identifying discrepancies or complex coding challenges.
5. Strong written and verbal communication skills, demonstrating meticulous attention to detail and clarity.
6. Access to current ICD-10-CM and ICD-10-PCS code sets, Official Coding Guidelines, and MS-DRG grouper tools.