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

> Gramian Consulting Group · United States (Remote) · — · Posted 2026-10-21

**Workplace:** remote

**Department:** One

## Description

**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 guidelines.
    
-   Identify principal and secondary diagnoses and sequence codes according to official inpatient coding conventions.
    
-   Assign 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 guidance.
    
-   Identify hospital-acquired conditions (HACs), patient safety indicators, and documentation inconsistencies where applicable.
    
-   Collaborate with project stakeholders to clarify coding requirements, resolve documentation ambiguities, and maintain data integrity.
    
-   Provide structured feedback on coding guidelines, complex cases, and recurring errors to support workflow improvements and AI model training.
    
-   Ensure 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) credential.

-   Hands-on experience with inpatient medical coding.
    
-   Strong knowledge of ICD-10-CM, ICD-10-PCS, and MS-DRG methodology.
    
-   Understanding of principal diagnosis selection, secondary diagnosis reporting, code sequencing, POA indicators, CC/MCC classification, and applicable inpatient coding guidelines.
    
-   Experience reviewing clinical documentation and resolving complex coding challenges.
    
-   Strong written and verbal communication skills.
    
-   Excellent attention to detail and the ability to apply coding rules consistently.
    
-   Access to current ICD-10-CM/PCS code sets, official coding guidelines, and appropriate MS-DRG grouper tools.

## Apply

[Apply at Gramian Consulting Group](https://apply.workable.com/gramian/j/CD34244F09/apply)

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