Certified Inpatient Coder

Role overview

Role Type: Contractor Location: United States, Remote micro1 is engaging Certified Inpatient Coders to contribute to a customer's project focused on enhancing medical data accuracy and integrity. 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. Scope of Work • Review and analyze inpatient medical records to ensure accurate ICD-10-CM and ICD-10-PCS coding in alignment with current guidelines and best practices. • Review clinical documentation for accuracy, completeness, and coding integrity. • Identify principal and secondary diagnoses, sequence codes per the Official Guidelines, and assign Present on Admission (POA) indicators. • Validate MS-DRG assignment, including identification of CCs and MCCs, and flag hospital-acquired conditions (HACs) and patient safety indicators. • Evaluate AI-generated clinical notes and summaries against real-world documentation and coding standards. • Code AI-generated diagnostic and procedural information from the record using ICD-10-CM and ICD-10-PCS classification systems. • Identify and resolve discrepancies in diagnosis and procedure coding, ensuring the integrity of record abstraction and data capture. • Provide clear written feedback on coding errors and complex cases to improve model performance.

Requirements & qualifications

• Active certification in one of the following: CIC or CCS, or other coding certification through AHIMA and AAPC (e.g., RHIA, RHIT, COC). • Inpatient ICD-10-CM/PCS coding experience. • Access to up-to-date official ICD-10-CM/PCS coding books and Coding Clinic guidance. • Currently working in inpatient medical coding, clinical documentation improvement, or a closely related documentation role. • Availability of at least 10 hours per week.

Skills

• Inpatient Coding
• Inpatient Records
• ICD-10
• CIC
• CPC
• AAPC
• CPT