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Medical Coder, CDI Specialist – AI Clinical Evaluation
Gramian Consulting. Develop realistic medical coding and CDI cases and benchmark tasks .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical coding and clinical documentation improvement (CDI) with a strong focus on coding accuracy, compliance, and documentation integrity. Proficient in evaluating medical records and applying coding guidelines to ensure high-quality documentation and clinical validation.
Highest-signal resume keywords
Medical Coding ExperienceClinical Documentation Improvement (CDI)ICD-10-CM KnowledgeCoding Certification (CCS, CPC, CDIP, CCDS)Documentation Review Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
Medical CodingClinical Documentation ImprovementICD-10-CMICD-10-PCSCoding GuidelinesCoding Accuracy EvaluationClinical ValidationDocumentation Quality AssessmentRegulatory ComplianceCoding Error Identification
Soft Skills
Strong Written EnglishClear Communication
Certifications & Qualifications
CCSCPCCDIPCCDS
Industry Keywords
Revenue CycleMedical NecessityClinical IndicatorsPeer ReviewBenchmarking
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- 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