Inpatient Medical Coding & AI Data Quality Specialist (CCS/CIC)

Gramian Consulting Group

2d • Remote

About The Position

Gramian Consultancy is seeking an experienced inpatient medical coding specialist with an active CCS or CIC credential to support a project improving the accuracy and clinical understanding of advanced AI systems. The specialist will review and annotate inpatient medical records, assign and validate ICD-10-CM and ICD-10-PCS codes, determine principal and secondary diagnoses, and verify MS-DRG assignments. The role applies official inpatient coding guidelines, identifies documentation gaps, and provides expert feedback on complex coding cases. Prior AI experience is not required. The position is remote within the United States and calls for strong written and verbal English.

Requirements

• Active AHIMA Certified Coding Specialist (CCS) or AAPC Certified Inpatient Coder (CIC) credential.
• Hands-on experience with inpatient medical coding.
• Strong knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG methodology.
• Understanding of principal diagnosis selection, secondary diagnosis reporting, code sequencing, POA indicators, CC/MCC classification, and applicable inpatient coding guidelines.
• Experience reviewing clinical documentation and resolving complex coding challenges.
• Strong written and verbal communication skills in English.
• Excellent attention to detail and ability to apply coding rules consistently.
• Access to current ICD-10-CM/PCS code sets, official coding guidelines, and appropriate MS-DRG grouper tools.

Responsibilities

• Annotate and review inpatient medical records, including admission notes, progress notes, operative reports, consultations, laboratory and imaging results, and discharge summaries.
• Assign accurate ICD-10-CM and ICD-10-PCS codes based on clinical documentation and applicable coding guidelines.
• Identify principal and secondary diagnoses and sequence codes according to official inpatient coding conventions.
• Assign Present on Admission (POA) indicators and validate MS-DRG assignments, including identifying Complications or Comorbidities (CCs) and Major Complications or Comorbidities (MCCs).
• Apply UHDDS definitions, ICD-10-CM/PCS Official Guidelines for Coding and Reporting, and relevant AHA Coding Clinic guidance.
• Identify hospital-acquired conditions (HACs), patient safety indicators, and documentation inconsistencies where applicable.
• Collaborate with project stakeholders to clarify coding requirements, resolve documentation ambiguities, and maintain data integrity.
• Provide structured feedback on coding guidelines, complex cases, and recurring errors to support workflow improvements and AI model training.
• Ensure coding annotations are accurate, complete, consistent, and aligned with current coding standards.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed