Medical Coder / CDI Specialist (AI Clinical Evaluation)
About The Position
Gramian Consultancy is seeking an experienced Medical Coder / Clinical Documentation Integrity (CDI) Specialist for a 12-week contractor assignment supporting an AI training and evaluation project. The project focuses on coding accuracy, documentation quality, medical necessity, clinical validation, and revenue-cycle reasoning. The specialist will create and review complex coding and CDI cases, longitudinal chart scenarios, gold-standard answers, and evaluation rubrics. They will assess whether outputs demonstrate correct code assignment, complete and compliant documentation, appropriate clinical validation, and sound interpretation of medical records. The assignment is part-time or full-time, 20–40 hours per week, and remote within the USA. Selection is based on an online questionnaire and resume, education, and certification.
Requirements
- Approximately 3+ years of professional medical coding, CDI, or related revenue-cycle experience.
- Current or recent professional practice within the last 3 years.
- Active or current recognized certification such as CCS, CPC, CDIP, CCDS, or equivalent.
- Strong knowledge of ICD-10-CM and/or ICD-10-PCS and applicable coding guidelines.
- Strong experience reviewing complex medical records and clinical documentation.
- Ability to identify coding errors, documentation gaps, unsupported diagnoses, and compliance risks.
- Strong understanding of coding accuracy, medical necessity, and clinical validation.
- Strong written English and ability to clearly explain coding or documentation decisions.
Responsibilities
- Develop realistic medical coding and CDI cases and benchmark tasks.
- Review inpatient or outpatient medical records, diagnoses, procedures, clinical indicators, and provider documentation.
- Evaluate AI-generated outputs for coding accuracy, documentation integrity, medical necessity, and compliance.
- Identify incomplete, conflicting, unsupported, or ambiguous documentation.
- Create gold-standard answers and defensible reference solutions.
- Review diagnosis and procedure coding using applicable coding conventions and guidelines.
- Assess principal diagnosis, secondary diagnoses, sequencing, specificity, and clinical validation where relevant.
- Review documentation for query opportunities and identify missing or insufficient clinical support.
- Apply structured rubrics to evaluate coding, terminology, documentation quality, and regulatory alignment.
- Participate in calibration, peer review, and iterative refinement of coding and CDI content.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
