Inpatient Medical Coding & AI Data Quality Specialist (CCS/CIC)
New
G
Gramian ConsultancyMedical coding
Remote — United StatesFull-Time
Salary not disclosed
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Job Details
- Languages
- Strong written and verbal English
Requirements
- Hold an active AHIMA Certified Coding Specialist (CCS) or AAPC Certified Inpatient Coder (CIC) credential.
- Have hands-on experience with inpatient medical coding.
- Demonstrate strong knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG methodology.
- Understand principal diagnosis selection, secondary diagnosis reporting, and code sequencing.
- Understand POA indicators and CC/MCC classification.
- Know applicable inpatient coding guidelines and UHDDS definitions.
- Have experience reviewing clinical documentation and resolving complex coding challenges.
- Have access to current ICD-10-CM/PCS code sets, official coding guidelines, and appropriate MS-DRG grouper tools.
- Demonstrate strong written and verbal English communication.
- Have excellent attention to detail and apply coding rules consistently.
Responsibilities
- Review and annotate inpatient 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 guidelines.
- Identify principal and secondary diagnoses and sequence codes according to official inpatient coding conventions.
- Assign Present on Admission indicators and validate MS-DRG assignments, including CC and MCC identification.
- Apply UHDDS definitions, official ICD-10-CM/PCS coding guidelines, and relevant AHA Coding Clinic guidance.
- Identify hospital-acquired conditions, patient safety indicators, and documentation inconsistencies where applicable.
- Collaborate with project stakeholders to clarify coding requirements and resolve documentation ambiguities.
- Provide structured feedback on guidelines, complex cases, and recurring errors to support workflow improvements and AI model training.
- Ensure coding annotations are accurate, complete, consistent, and aligned with current coding standards.
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