Medical Coder (CCS / CIC)

Aqusag Technologies; United States; On-site; USD 70,000 - 90,000; Full time

Job summary

Aqusag Technologies is seeking Medical Coders (CCS / CIC certified) to contribute their expertise to a dynamic project for AI training. You will annotate and review inpatient records and ensure precise code assignment based on documentation.

Collaborate with stakeholders, apply ICD-10-CM/PCS, UHDDS, and MS-DRG guidelines, and deliver feedback to enhance data quality and model understanding. Inpatient coding experience and current credentials are required.

Qualifications

• Active AHIMA CCS or CIC credential.
• Expertise in ICD-10-CM, ICD-10-PCS, and MS-DRG methodology with hands-on inpatient coding experience.
• Experience coding in diverse inpatient settings, such as acute care, teaching hospitals, surgical, trauma, oncology, cardiology, and transplant cases.
• Proficiency in reviewing and coding various types of clinical documentation and addressing complex coding challenges.
• Strong written and verbal communication skills, demonstrating meticulous attention to detail and clarity.
• Access to current ICD-10-CM and ICD-10-PCS code sets, Official Coding Guidelines, and MS-DRG grouper tools.

Responsibilities

• Annotate and review inpatient medical records, including notes, operative reports, and summaries, ensuring accurate ICD-10-CM/PCS code assignment.
• Identify principal and secondary diagnoses, sequence codes, POA indicators, and validate MS-DRG assignments.
• Apply inpatient coding conventions and guidelines, and identify HACs and patient safety indicators.
• Collaborate with stakeholders to clarify requirements and resolve documentation ambiguities.
• Provide high-quality feedback on coding guidelines and complex cases to improve AI model understanding.
• Ensure accuracy and completeness of all coding annotations per best practices.

Skills

ICD-10-CM/PCS expertise

MS-DRG proficiency

Inpatient coding

Attention to detail

Communication skills

Education

AHIMA CCS or CIC certification

Job description

Medical Coder

We are engaging Medical Coders (CCS / CIC certified) to contribute their expertise to a dynamic project for a valued. 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:

• Annotate and review inpatient medical records, including admission notes, progress notes, operative reports, consults, lab and imaging results, and discharge summaries, ensuring precise ICD-10-CM and ICD-10-PCS code assignment based on documentation.
• Identify principal and secondary diagnoses, sequence codes according to guidelines, assign Present on Admission (POA) indicators, and validate MS-DRG assignment, including the identification of CCs and MCCs, to verify and enrich data sets.
• Apply inpatient-specific coding conventions, such as UHDDS definitions, ICD-10-CM/PCS Official Guidelines for Coding and Reporting, and AHA Coding Clinic guidance, while identifying hospital-acquired conditions (HACs) and patient safety indicators.
• Collaborate with project stakeholders using both written and verbal communication to clarify requirements, resolve documentation ambiguities, and ensure data integrity.
• Deliver high-quality feedback on coding guidelines and complex cases to support project workflow improvements and enhance AI model understanding.
• Ensure accuracy and completeness of all coding-related annotations per current best practices and coding standards.

Preferred Qualifications:

• Active AHIMA Certified Coding Specialist (CCS) or AAPC Certified Inpatient Coder (CIC) credential.
• Thorough expertise in ICD-10-CM, ICD-10-PCS, and MS-DRG methodology with hands‑on inpatient coding experience.
• Experience coding in diverse inpatient settings, such as acute care, teaching hospitals, specialty units, surgical, trauma, oncology, cardiology, and transplant cases.
• Proficiency in reviewing and coding various types of clinical documentation and addressing complex coding challenges.
• Strong written and verbal communication skills, demonstrating meticulous attention to detail and clarity.
• Access to current ICD-10-CM and ICD-10-PCS code sets, Official Coding Guidelines, and MS-DRG grouper tools.