US-based inpatient coders annotate hospital records, assign diagnosis and procedure codes and validate DRG groupings for AI datasets. It suits certified coders with hands-on inpatient experience across acute care settings.
Sobre la vacante
Location: US - Remote
micro1 is engaging Medical Coders (CCS / CIC certified) to contribute their expertise to a dynamic project for a valued customer. 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. No prior experience in AI is required — your domain knowledge is what matters.
Scope of Work
- Annotate and review inpatient medical records, including admission notes, progress notes, operative reports, consults, lab and imaging results, and discharge summaries, ensuring precise ICD-10-CM and ICD-10-PCS code assignment based on documentation.
- Identify principal and secondary diagnoses, sequence codes according to guidelines, assign Present on Admission (POA) indicators, and validate MS-DRG assignment, including the identification of CCs and MCCs, to verify and enrich data sets.
- Apply inpatient-specific coding conventions, such as UHDDS definitions, ICD-10-CM/PCS Official Guidelines for Coding and Reporting, and AHA Coding Clinic guidance, while identifying hospital-acquired conditions (HACs) and patient safety indicators.
- Collaborate with project stakeholders using both written and verbal communication to clarify requirements, resolve documentation ambiguities, and ensure data integrity.
- Deliver high-quality feedback on coding guidelines and complex cases to support project workflow improvements and enhance AI model understanding.
- Ensure accuracy and completeness of all coding-related annotations per current best practices and coding standards.
Preferred Qualifications
- Active AHIMA Certified Coding Specialist (CCS) or AAPC Certified Inpatient Coder (CIC) credential.
- Thorough expertise in ICD-10-CM, ICD-10-PCS, and MS-DRG methodology with hands-on inpatient coding experience.
- Experience coding in diverse inpatient settings, such as acute care, teaching hospitals, specialty units, surgical, trauma, oncology, cardiology, and transplant cases.
- Proficiency in reviewing and coding various types of clinical documentation and addressing complex coding challenges.
- Strong written and verbal communication skills, demonstrating meticulous attention to detail and clarity.
- Access to current ICD-10-CM and ICD-10-PCS code sets, Official Coding Guidelines, and MS-DRG grouper tools.
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