Medical Coder / CDI Specialist (AI Clinical Evaluation)

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Gramian ConsultancyMedical coding

Remote - USAContractMiddle

Salary not disclosed

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Job Details

Languages: Strong written English
Experience: Approximately 3+ years of professional medical coding, CDI, or related revenue-cycle experience

Have approximately 3+ years of professional medical coding, CDI, or related revenue-cycle experience.
Have current or recent professional practice within the last 3 years.
Hold an active or current recognized certification such as CCS, CPC, CDIP, CCDS, or equivalent.
Have strong knowledge of ICD-10-CM and/or ICD-10-PCS and applicable coding guidelines.
Have strong experience reviewing complex medical records and clinical documentation.
Be able to identify coding errors, documentation gaps, unsupported diagnoses, and compliance risks.
Have a strong understanding of coding accuracy, medical necessity, and clinical validation.
Have strong written English and be able to clearly explain coding or documentation decisions.

Develop realistic medical coding and CDI cases and benchmark tasks.
Review inpatient or outpatient medical records, diagnoses, procedures, clinical indicators, and provider documentation.
Evaluate AI-generated outputs for coding accuracy, documentation integrity, medical necessity, and compliance.
Identify incomplete, conflicting, unsupported, or ambiguous documentation.
Create gold-standard answers and defensible reference solutions.
Review diagnosis and procedure coding using applicable coding conventions and guidelines.
Assess principal and secondary diagnoses, sequencing, specificity, and clinical validation where relevant.
Review documentation for query opportunities and identify missing or insufficient clinical support.
Apply structured rubrics and participate in calibration, peer review, and iterative refinement.

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