Remote | Medical Coding Quality & Health Information Management Consultant — Up to $60​/hour

Remote | Medical Coding Quality & Health Information Management Consultant — Up to $60/hour

New York, New York, United States Or refer someone Job Openings Remote | Medical Coding Quality & Health Information Management Consultant — Up to $60/hour

We are sharing a specialised part-time consulting opportunity for United States-based healthcare coding professionals experienced in medical coding operations, health information management, professional fee coding, facility inpatient coding, coding audits, ICD-10-CM/PCS, CPT/HCPCS, DRG assignment, coding compliance, and coding quality improvement.

This role supports current and upcoming remote consulting opportunities focused on AI-assisted medical coding evaluation, coding assignment review, health information management workflow assessment, and high-quality project execution. Selected professionals will apply coding leadership expertise to evaluate AI-generated coding outputs, identify coding inaccuracies, assess compliance risks, and provide structured feedback based on detailed project criteria.

Professionals in this role may contribute to:

• Review AI-generated coding assignments involving ICD-10-CM/PCS diagnoses, procedure codes, CPT/HCPCS codes, and DRG assignments
• Evaluate coding outputs for accuracy, completeness, compliance, and alignment with professional coding standards
• Assess professional fee coding, facility inpatient coding, or both depending on project scope
• Identify coding errors, missing documentation support, incorrect code selection, DRG issues, and compliance concerns

• Review coding quality audit outputs, coding productivity workflows, and health information management processes
• Evaluate coding work queues, turnaround time expectations, unbilled accounts, claim denial trends, and coding-related revenue integrity issues
• Assess whether coding recommendations align with Official Coding Guidelines, CMS regulations, and payer-specific coding requirements
• Support review of coding education materials, quality improvement recommendations, and compliance-focused feedback

• Annotate AI-generated coding outputs and provide structured feedback to support quality improvement
• Explain review decisions clearly, consistently, and with strong coding and health information management judgment
• Collaborate through structured review workflows involving coding, clinical documentation improvement, billing, compliance, and revenue cycle concepts
• Follow detailed task instructions, quality criteria, and project-specific review guidelines accurately

Strong candidates may have:

• 5+ years of experience in medical coding, coding quality, health information management, coding compliance, or related healthcare coding operations
• At least 2 years of experience in a coding manager, coding supervisor, HIM leadership, team lead, or quality oversight role
• Expert knowledge of ICD-10-CM/PCS, CPT/HCPCS, DRG assignment, and Official Coding Guidelines
• Proficiency in professional fee coding, facility inpatient coding, or both
• Experience conducting coding audits and developing coding quality improvement programs
• Familiarity with coding software such as 3M, Nuance, Optum
  360, Tru Code, or similar platforms
• Experience with EHR systems and coding workflow tools
• Exceptional written and verbal English communication skills
• High attention to detail and ability to identify coding errors, compliance risks, and AI-generated output inaccuracies

• Professional background in medical coding, health information management, coding operations, coding quality, coding compliance, clinical documentation improvement, or revenue cycle operations is highly relevant
• Experience in hospital, health system, physician group, professional fee, facility inpatient, or multi-specialty coding environments may be especially valuable
• Practical experience with coding platforms, EHR systems, computer-assisted coding tools, coding audits, DRG review, and claim denial analysis may support project fit
• Formal education or training in health information management, medical coding, healthcare administration, clinical documentation, or a related healthcare field may be relevant depending on project scope

• CPC, CCS, RHIA, RHIT, or similar coding or health information management credential
• Experience with computer-assisted coding tools, NLP-based coding platforms, or AI-assisted coding workflows
• Background in inpatient facility coding with DRG optimization experience
• Familiarity with AI tools and comfort evaluating AI-generated coding assignments
• Experience presenting coding performance data, quality metrics, audit findings, or compliance recommendations to leadership
• Strong ability to identify coding-related denial risks, documentation gaps, and revenue integrity issues

• Apply medical coding and health information management expertise to structured remote healthcare project work
• Contribute to…