Remote | Medical Coder; ICD-10 & Clinical Documentation

We are sharing a specialised part-time consulting opportunity for certified medical coding and clinical documentation professionals with hands‑on ICD-10 experience and advanced proficiency in English plus at least one additional language.

This role focuses on reviewing, annotating, and evaluating clinical documentation for coding accuracy, completeness, and documentation integrity. Selected professionals will assess clinical notes and summaries, validate alignment between documentation and assigned codes, identify documentation gaps, and provide structured feedback based on real‑world coding standards.

• Review clinical documentation for coding accuracy and completeness
• Evaluate whether assigned codes are appropriately supported by the underlying documentation
• Identify coding inconsistencies, omissions, or unsupported assignments
• Apply current ICD-10 coding standards across assigned cases
• Assess documentation and coding integrity using practical professional judgement

• Review clinical notes, summaries, and supporting documentation
• Assess whether documentation accurately captures relevant clinical information
• Identify missing, incomplete, inconsistent, or inaccurate documentation
• Evaluate whether clinical documentation provides sufficient support for coding decisions
• Apply real‑world documentation standards throughout the review process

• Validate alignment between clinical documentation and assigned diagnosis or procedure codes
• Identify discrepancies between documented conditions and coded information
• Assess whether documentation supports appropriate code specificity
• Flag cases requiring clarification or additional documentation
• Distinguish genuine coding issues from minor documentation differences

• Annotate clinical documentation according to detailed project guidelines
• Apply annotation criteria consistently across assignments
• Categorise documentation and coding issues
• Provide clear written explanations for identified discrepancies
• Maintain accuracy and consistency across repeated review tasks

• Evaluate generated clinical notes and summaries against professional coding and documentation expectations
• Flag omissions, inaccuracies, unsupported information, and documentation gaps
• Assess whether outputs are suitable for downstream coding review
• Identify issues that could affect coding integrity or documentation quality
• Provide actionable feedback based on professional medical coding standards

• Review or assess clinical material requiring advanced proficiency in a language other than English
• Apply professional‑level speaking, listening, reading, and written comprehension where relevant
• Identify linguistic discrepancies that may affect clinical or coding interpretation
• Evaluate documentation meaning accurately across languages
• Support quality review of multilingual clinical documentation

• Contribute professional input on coding and documentation review guidelines
• Identify ambiguous instructions or difficult edge cases
• Raise clarifying questions where project guidance requires refinement
• Help improve documentation and annotation standards
• Apply practical coding experience to recurring quality issues

• Active certification in at least one of the following:
  • CCDS
  • CHC
  • CCS
  • CPC
• Hands‑on ICD-10 coding experience
• Currently working in medical coding, clinical documentation improvement (CDI), or a closely related clinical documentation role
• US‑based
• Advanced C1‑level or higher proficiency in English
• Advanced C1‑level or higher speaking, listening, and writing proficiency in at least one additional language
• Strong…