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.