Medical Records Coder

Overview

micro1 is seeking Medical Records Coders for a remote contractor project supporting a valued customer. There are 50 openings for this role. The work focuses on helping train next-generation AI systems through high-quality, real-world medical coding input. No prior AI experience is required, but domain expertise is essential.

What You'll Do

• Review and annotate medical records such as encounter notes, progress notes, operative reports, consults, lab and imaging results, and discharge summaries.
• Assign accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on the documentation provided.
• Identify principal and secondary diagnoses, sequence codes according to applicable guidelines, and assign modifiers and Present on Admission indicators when relevant.
• Apply coding conventions and payer-neutral best practices, including the Official Guidelines for Coding and Reporting and AHA Coding Clinic guidance.
• Flag documentation gaps and opportunities for coder queries.
• Work with project stakeholders to clarify requirements, resolve documentation ambiguities, and maintain data integrity.
• Provide feedback on coding guidelines and complex cases to help improve project workflows and model understanding.
• Ensure coding annotations are accurate, complete, and aligned with current best practices and standards.

Requirements

• Active AHIMA CCS, AAPC CIC, or AAPC CPC credential.
• Strong expertise in ICD-10-CM, ICD-10-PCS, and CPT coding.
• Hands-on experience coding from medical records.
• Experience across settings such as acute care, outpatient, emergency department, or physician practice is preferred.
• Ability to review varied clinical documentation and handle complex coding scenarios.
• Access to current ICD-10-CM, ICD-10-PCS, CPT code sets, and official coding guidelines.
• Strong written and verbal communication skills.