# Medical Coder / CDI Specialist (AI Clinical Evaluation)

> Gramian Consulting Group · United States (Remote) · Contract · Posted 2026-10-31

**Workplace:** remote

**Department:** Partnerships

## Description

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.

**Role Overview**

We are looking for an experienced **Medical Coder / Clinical Documentation Integrity (CDI) Specialist** to contribute to an AI training and evaluation project focused on coding accuracy, documentation quality, medical necessity, clinical validation, and revenue-cycle reasoning.

The role involves creating and reviewing **complex coding and CDI cases, longitudinal chart scenarios, gold-standard answers, and evaluation rubrics**. You will assess whether outputs reflect correct code assignment, complete and compliant documentation, appropriate clinical validation, and sound interpretation of medical records.

**CONTRACT:** Contractor assignment, 12 weeks

**COMMITMENT:** Part-time or Full-time (20-40h/week)

**LOCATIONS:** Remote - USA

**PROCESS:** The selection will be made based on an online questionnaire and resume/education/certification

**Key Responsibilities**

-   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.

## Apply

[Apply at Gramian Consulting Group](https://apply.workable.com/gramian/j/364D71193A/apply)

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