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

About The Role Gramian Consultancy is a boutique consultancy specializing in IT professional services and engineering talent solutions. With a strong background in software engineering and leadership, we help companies build high-performing teams by matching them with professionals who truly fit their needs. About The Role We are seeking an experienced Inpatient Medical Coding Specialist with an active CCS or CIC credential to contribute to a project focused on improving the accuracy and clinical understanding of advanced AI systems. You 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. You will apply official inpatient coding guidelines, identify documentation gaps, and provide expert feedback on complex coding cases. The ideal candidate has hands-on inpatient coding experience, strong knowledge of UHDDS, POA indicators, CC/MCC classification, and current coding standards, and exceptional attention to detail. Prior AI experience is not required. SENIORITY: Experienced / Specialist LANGUAGE: Strong written and verbal English LOCATION: Remote — United States Key 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 guidelinesIdentify principal and secondary diagnoses and sequence codes according to official inpatient coding conventionsAssign Present on Admission (POA) indicators and validate MS-DRG assignments, including the identification of 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 guidanceIdentify hospital-acquired conditions (HACs), patient safety indicators, and documentation inconsistencies where applicableCollaborate with project stakeholders to clarify coding requirements, resolve documentation ambiguities, and maintain data integrityProvide structured feedback on coding guidelines, complex cases, and recurring errors to support workflow improvements and AI model trainingEnsure all coding annotations are accurate, complete, consistent, and aligned with current coding standards Requirements Active AHIMA Certified Coding Specialist (CCS) or AAPC Certified Inpatient Coder (CIC) credentialHands-on experience with inpatient medical codingStrong knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG methodologyUnderstanding of principal diagnosis selection, secondary diagnosis reporting, code sequencing, POA indicators, CC/MCC classification, and applicable inpatient coding guidelinesExperience reviewing clinical documentation and resolving complex coding challengesStrong written and verbal communication skillsExcellent attention to detail and the ability to apply coding rules consistentlyAccess to current ICD-10-CM/PCS code sets, official coding guidelines, and appropriate MS-DRG grouper tools