Medical Coder, CCS, CIC

Weekday (YC W21)

. Review admission notes, progress notes, operative reports, consultation records, laboratory and imaging results, and discharge summaries .

Posted 10/20/2026contractRemote • United StatesMid-LevelSenior💰 $50 - $70 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in inpatient medical coding, including proficiency in ICD-10-CM and ICD-10-PCS coding systems, MS-DRG methodology, and clinical documentation review. Strong analytical and communication skills are essential for resolving complex coding challenges and ensuring data integrity.

Highest-signal resume keywords

AHIMA Certified Coding Specialist (CCS)AAPC Certified Inpatient Coder (CIC)Inpatient Medical CodingICD-10-CMICD-10-PCS

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical CodingMS-DRG MethodologyPrincipal and Secondary Diagnosis CodingDiagnosis SequencingPresent on Admission (POA) IndicatorsClinical Documentation ReviewCoding Guidelines and ComplianceUHDDS DefinitionsCC and MCC IdentificationAmbiguous Documentation Investigation

Soft Skills

Analytical SkillsCritical-Thinking SkillsProblem-Solving SkillsAttention to DetailCommunication Skills

Tools & Technologies

ICD-10-CM Code SetsICD-10-PCS Code SetsMS-DRG Grouper ToolsAHA Coding Clinic Guidance

Certifications & Qualifications

AHIMA Certified Coding Specialist (CCS)AAPC Certified Inpatient Coder (CIC)

Industry Keywords

Inpatient CodingClinical DocumentationCoding StandardsPatient Safety IndicatorsHospital-Acquired Conditions

About the role

Key responsibilities & impact

Review admission notes, progress notes, operative reports, consultation records, laboratory and imaging results, and discharge summaries
Assign accurate ICD-10-CM and ICD-10-PCS diagnosis and procedure codes
Identify principal and secondary diagnoses and apply appropriate sequencing rules
Review and validate MS-DRG assignments, including CC and MCC identification
Assign and validate Present on Admission (POA) indicators
Apply UHDDS definitions, official ICD-10-CM/PCS guidelines, and AHA Coding Clinic guidance
Identify hospital-acquired conditions, patient safety indicators, and other coding-relevant clinical details
Annotate and validate clinical data for AI training and model evaluation
Investigate ambiguous documentation and resolve complex inpatient coding challenges
Provide evidence-based recommendations and structured feedback to improve annotation quality and project workflows
Communicate with stakeholders to clarify requirements, resolve documentation discrepancies, and maintain data integrity

Requirements

What you’ll need

Active AHIMA Certified Coding Specialist (CCS) or AAPC Certified Inpatient Coder (CIC) certification
Strong hands-on experience in inpatient medical coding and clinical documentation review
Thorough understanding of ICD-10-CM and ICD-10-PCS coding systems
Proficiency in MS-DRG methodology, diagnosis sequencing, and principal diagnosis selection
Knowledge of POA indicators, CCs, MCCs, UHDDS definitions, and applicable inpatient coding guidelines
Ability to interpret complex clinical documentation and accurately translate medical information into appropriate codes
Familiarity with AHA Coding Clinic guidance and current official coding standards
Strong analytical, critical-thinking, and problem-solving skills
Excellent written and verbal communication skills, with meticulous attention to detail
Ability to work independently, follow detailed instructions, and consistently deliver accurate, high-quality coding annotations
Must-have skills: Medical Coding; CCS or CIC Certification; Inpatient Medical Coding; ICD-10-CM; ICD-10-PCS; MS-DRG Methodology; Principal and Secondary Diagnosis Coding; Diagnosis Sequencing; Present on Admission (POA) Indicators; Clinical Documentation Review; Coding Guidelines and Compliance
Access to current ICD-10-CM and ICD-10-PCS code sets, official coding guidelines, and appropriate MS-DRG grouper tools