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Medical Coder (CCS / CIC)

Noida, India

Experience: 3+ years
Job Type: Full-time (Contractual / Freelancing)
Location: Remote
Required Skills: icd-10-cm coding, icd-10-pcs coding, ms-drg assignment, clinical documentation review, ccs or cic certification, coding guideline interpretation, medical record annotation, written and verbal communication, attention to detail, data quality assurance

Job Summary:

We are engaging Medical Coders (CCS / CIC certified) to contribute their expertise to a dynamic project for a valued. 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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