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

Synthires; United States; Remote; USD 69,000 - 96,000; Full time

Job summary

Synthires is seeking experienced Medical Coders to support AI training and evaluation through outpatient coding review, annotation, and validation. This is a remote contractor role for US-based professionals, focusing on accurate coding and compliance with ICD-10-CM, CPT, HCPCS, and E/M guidelines.

No prior AI experience is required; strong coding expertise and attention to detail are the primary requirements.

Qualifications

• Active CPC certification.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS Level II.
• Experience applying outpatient E&M coding guidelines.
• Hands-on outpatient coding experience in physician offices, specialty clinics, ambulatory surgery centers, or hospital outpatient departments.
• Strong understanding of coding compliance, documentation requirements, and medical necessity standards.
• Excellent attention to detail and analytical skills.
• Strong written and verbal communication abilities.
• Ability to work independently in a remote environment.

Responsibilities

• Review and annotate outpatient medical records, including physician office visits, specialty clinic encounters, ambulatory surgery cases, and hospital outpatient services.
• Assign and validate accurate ICD-10-CM, CPT, and HCPCS codes based on clinical documentation.
• Apply Evaluation & Management (E&M) coding guidelines using medical decision-making or total-time methodologies.
• Ensure compliance with outpatient coding conventions, diagnosis coding guidelines, modifier usage, and medical necessity requirements.
• Link diagnoses appropriately to procedures and services performed.
• Review coding scenarios and identify documentation gaps, inconsistencies, or coding inaccuracies.
• Provide detailed feedback on coding decisions, guidelines, and complex coding situations.
• Collaborate with project teams to clarify coding requirements and resolve documentation ambiguities.
• Contribute to the development of high-quality datasets used to improve AI understanding of medical coding workflows.

Skills

CPC certification

ICD-10-CM knowledge

CPT coding

HCPCS Level II coding

E/M guidelines

Attention to detail

Communication

Tools

ICD-10-CM references

CPT references

HCPCS references

Job description

We are seeking experienced Medical Coders to contribute to a project focused on improving next-generation AI systems. In this role, you will apply your outpatient coding expertise to review, annotate, and validate clinical documentation while ensuring accurate code assignment and compliance with industry standards.

No prior AI experience is required. Your medical coding expertise and attention to detail are the primary focus.

Responsibilities

• Review and annotate outpatient medical records, including physician office visits, specialty clinic encounters, ambulatory surgery cases, and hospital outpatient services.
• Assign and validate accurate ICD-10-CM, CPT, and HCPCS codes based on clinical documentation.
• Apply Evaluation & Management (E&M) coding guidelines using medical decision-making or total-time methodologies.
• Ensure compliance with outpatient coding conventions, diagnosis coding guidelines, modifier usage, and medical necessity requirements.
• Link diagnoses appropriately to procedures and services performed.
• Review coding scenarios and identify documentation gaps, inconsistencies, or coding inaccuracies.
• Provide detailed feedback on coding decisions, guidelines, and complex coding situations.
• Collaborate with project teams to clarify coding requirements and resolve documentation ambiguities.
• Contribute to the development of high-quality datasets used to improve AI understanding of medical coding workflows.

Required Qualifications

• Active AAPC Certified Professional Coder (CPC) certification.
• Strong knowledge of ICD-10-CM, CPT, and HCPCS Level II coding systems.
• Experience applying outpatient E&M coding guidelines.
• Hands-on outpatient coding experience in physician offices, specialty clinics, ambulatory surgery centers, or hospital outpatient departments.
• Strong understanding of coding compliance, documentation requirements, and medical necessity standards.
• Excellent attention to detail and analytical skills.
• Strong written and verbal communication abilities.
• Ability to work independently in a remote environment.

Preferred Qualifications

• Experience coding across multiple specialties and outpatient care settings.
• Familiarity with office visit notes, operative reports, procedure documentation, and other clinical record types.
• Experience reviewing complex coding scenarios and resolving coding discrepancies.
• Access to current ICD-10-CM, CPT, HCPCS Level II references, and E&M guidelines.
• Experience with medical record review, auditing, quality assurance, or coding education.
• Familiarity with healthcare compliance standards and reimbursement requirements.
• Previous experience supporting data review, annotation, or AI-related projects is a plus.

Compensation & Engagement

• Compensation ranges from $50–$70/hour.
• This is a remote contractor opportunity available to professionals based in the United States.
• Flexible project-based work with independent scheduling.
• Focused on applying outpatient coding expertise to support AI training and evaluation initiatives.
• No prior AI experience is required.