---
title: "Medical Coder / CDI Specialist at Gramian Consulting - Job 1198"
description: "Gramian Consulting is hiring Medical Coder / CDI Specialist at United States."
url: https://healthworkly.com/jobs/medical-coder-cdi-specialist-gramian-consulting-1198
---

# Medical Coder / CDI Specialist (AI Clinical Evaluation)

**[Gramian Consulting](https://gramianconsulting.com/)** · Remote in United States

## Job details

- Posted: 2026-10-31
- Location: Remote in United States
- Employment type: Contract

## Full job 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.


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  "description": "<p>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.</p><p></p><p><strong>Role Overview</strong></p><p>We are looking for an experienced <strong>Medical Coder / Clinical Documentation Integrity (CDI) Specialist</strong> to contribute to an AI training and evaluation project focused on coding accuracy, documentation quality, medical necessity, clinical validation, and revenue-cycle reasoning.</p><p>The role involves creating and reviewing <strong>complex coding and CDI cases, longitudinal chart scenarios, gold-standard answers, and evaluation rubrics</strong>. You will assess whether outputs reflect correct code assignment, complete and compliant documentation, appropriate clinical validation, and sound interpretation of medical records.</p><p></p><p><strong>CONTRACT:</strong> Contractor assignment, 12 weeks</p><p><strong>COMMITMENT:</strong> Part-time or Full-time (20-40h/week)</p><p><strong>LOCATIONS:</strong> Remote - USA</p><p><strong>PROCESS:</strong> The selection will be made based on an online questionnaire and resume/education/certification</p><p></p><p><strong>Key Responsibilities</strong></p><ul><li>Develop realistic <strong>medical coding and CDI cases and benchmark tasks</strong>.</li><li>Review inpatient or outpatient medical records, diagnoses, procedures, clinical indicators, and provider documentation.</li><li>Evaluate AI-generated outputs for <strong>coding accuracy, documentation integrity, medical necessity, and compliance</strong>.</li><li>Identify incomplete, conflicting, unsupported, or ambiguous documentation.</li><li>Create gold-standard answers and defensible reference solutions.</li><li>Review diagnosis and procedure coding using applicable coding conventions and guidelines.</li><li>Assess <strong>principal diagnosis, secondary diagnoses, sequencing, specificity, and clinical validation</strong> where relevant.</li><li>Review documentation for query opportunities and identify missing or insufficient clinical support.</li><li>Apply structured rubrics to evaluate coding, terminology, documentation quality, and regulatory alignment.</li><li>Participate in calibration, peer review, and iterative refinement of coding and CDI content.</li></ul><p><strong>Requirements</strong></p><ul><li>Approximately <strong>3+ years of professional medical coding, CDI, or related revenue-cycle experience</strong>.</li><li>Current or recent professional practice within the last 3 years.</li><li>Active or current recognized certification such as <strong>CCS, CPC, CDIP, CCDS, or equivalent</strong>.</li><li>Strong knowledge of <strong>ICD-10-CM and/or ICD-10-PCS</strong> and applicable coding guidelines.</li><li>Strong experience reviewing complex medical records and clinical documentation.</li><li>Ability to identify coding errors, documentation gaps, unsupported diagnoses, and compliance risks.</li><li>Strong understanding of coding accuracy, medical necessity, and clinical validation.</li><li>Strong written English and ability to clearly explain coding or documentation decisions.</li></ul>",
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