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Medical Records Coder

Remote — United States

icd-10-cmicd-10-pcscptmedical record reviewclinical documentation codingaha coding clinic guidelinesofficial guidelines for coding and reportingdata annotationattention to detailwritten and verbal communicationstakeholder collaborationproblem-solvingcode sequencing and assignmentquerying documentation gaps

About the role

micro1 is engaging Medical Records Coders (CCS / CIC / CPC certified) to contribute their expertise to a dynamic project for a valued customer. 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 medical records, including encounter notes, progress notes, operative reports, consults, lab and imaging results, and discharge summaries, ensuring precise ICD-10-CM, ICD-10-PCS, CPT, and HCPCS code assignment based on documentation.
  • Identify principal and secondary diagnoses, sequence codes according to guidelines, and assign modifiers and Present on Admission (POA) indicators where applicable, to verify and enrich data sets.
  • Apply coding conventions and payer-neutral best practices, including the Official Guidelines for Coding and Reporting and AHA Coding Clinic guidance, while flagging documentation gaps and query opportunities.
  • 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), AAPC Certified Inpatient Coder (CIC), or AAPC Certified Professional Coder (CPC) credential.
  • Thorough expertise in ICD-10-CM, ICD-10-PCS, and CPT, with hands-on experience coding from medical records.
  • Experience coding across settings such as acute care, outpatient, emergency department, and physician practice.
  • 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, ICD-10-PCS, and CPT code sets and Official Coding Guidelines.

Benefits

Not provided in the source listing.

Where you can work

This role is open to people based in: United States.

Remote does not always mean work from any country. Always check the employer’s location and working-hour requirements.

BEYOND THE JOB DESCRIPTION

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