Medical Coder, CDI Specialist – AI Clinical Evaluation

🔥 16 hours ago

🇺🇸 United States – Remote

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 12%

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Gramian Consulting

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2 - 10 employees

Founded 2025

💼 Consulting

📦 Logistics

📣 Marketing

Consulting • Logistics • Marketing

Gramian Consulting is a remote-first consulting firm that connects engineering and data/AI talent with organizations through talent augmentation, recruiting, dedicated teams, and contractor management. The firm provides Data & AI services including LLM training and fine-tuning, AI agents and assistants, MLOps, and AI infrastructure, and it offers mentorship and education programs for career readiness, interview preparation, and international market orientation. Rooted in hands-on engineering and recruiting experience, Gramian helps clients scale technical teams and extract business value from AI while developing individual talent.

📋 Description

• 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

• 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

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