Role Description
We are seeking experienced and certified Medical Coding Authors to contribute their expertise to an AI training and evaluation project. In this role, you will create high-quality medical coding scenarios, educational materials, and assessment content to help train next-generation AI systems. Your expertise in real-world medical coding practices will support the development of AI models capable of accurately interpreting clinical documentation and applying complex coding guidelines. No prior AI experience is required; your professional coding knowledge is what matters.
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Develop realistic medical coding scenarios, clinical documentation excerpts, and coding questions across inpatient, outpatient, and professional fee settings, including accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS code assignments.
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Create detailed answer keys and explanations covering code selection, sequencing, modifiers, and Present on Admission (POA) indicators, with references to relevant official guidelines and coding conventions.
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Develop evaluation rubrics and test cases of varying complexity, including ambiguous and challenging clinical documentation, to assess AI models' ability to apply medical coding rules accurately.
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Review, validate, and revise existing coding content for accuracy, clarity, and alignment with current ICD-10-CM/PCS Official Guidelines, AHA Coding Clinic guidance, and CPT coding standards.
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Collaborate with project stakeholders through written and verbal communication to clarify requirements, resolve documentation ambiguities, and maintain data integrity.
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Provide detailed feedback on coding guidelines, complex coding cases, and content quality to improve project workflows and strengthen AI model performance.
Qualifications
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Hold an active AHIMA Certified Coding Specialist (CCS), AAPC Certified Inpatient Coder (CIC), or AAPC Certified Professional Coder (CPC) credential.
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Strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding systems, supported by hands-on coding experience in a hospital, physician practice, or coding audit environment.
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Experience developing or reviewing medical coding content, including training materials, audit findings, coder education resources, or examination preparation materials.
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Ability to explain complex coding decisions, code assignments, and guideline interpretations clearly and accurately in writing.
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Excellent written and verbal communication skills, with strong attention to detail and accuracy.
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Access to current ICD-10-CM, ICD-10-PCS, and CPT code sets, along with the applicable Official Coding Guidelines.
Preferred Qualifications
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Experience creating educational content, coding assessments, or technical reference materials for medical coding professionals.
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Familiarity with evaluating coding accuracy, identifying documentation gaps, and resolving complex or ambiguous coding scenarios.
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Experience with AI training, data annotation, content validation, or model evaluation projects.