The Work
You will review clinical documentation and annotate coding data to support AI training. The records may include admission notes, progress notes, operative reports, consultations, laboratory and imaging results, and discharge summaries.
- Assign ICD-10-CM and ICD-10-PCS codes from documented clinical information.
- Identify principal and secondary diagnoses, sequence codes, and assign Present on Admission indicators.
- Validate MS-DRG assignments, including complications and comorbidities and major complications and comorbidities.
- Apply UHDDS definitions, official ICD-10-CM and ICD-10-PCS guidance, and AHA Coding Clinic guidance.
- Identify hospital-acquired conditions and patient safety indicators.
- Check annotation accuracy and completeness, and explain documentation ambiguities and complex coding cases clearly.
What It Pays And Takes
This is remote contract work with part-time availability. You must be able to interpret varied inpatient documentation, resolve complex coding questions, and communicate clearly in writing and verbally.
- Pay: $50-$70 per hour.
- Location: Open to candidates in the United States.
- Language: Professional fluency in English.
- Credential: An active AHIMA Certified Coding Specialist or AAPC Certified Inpatient Coder credential is required.
- Experience: Hands-on inpatient coding experience is required.
- Knowledge: Strong knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG methodology.
- Tools and guidance: Ability to use current code sets, official coding guidance, and MS-DRG grouper tools.
- Helpful experience: Acute care, teaching hospitals, specialty units, surgical, trauma, oncology, cardiology, or transplant cases.