Clinical Documentation Integrity AI Reviewer

About OpenTrain

OpenTrain is the #1 platform for finding and building careers in AI training and data labeling. OpenTrain AI hires and contracts specialists for projects that help improve how modern AI systems understand, evaluate, and generate information.

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About AI Training in Healthcare

AI training is the human side of building artificial intelligence. Experts review model outputs, annotate information, and provide structured feedback so AI systems can become more accurate, reliable, and useful.

In healthcare, qualified professionals can help evaluate documentation, coding, and clinical reasoning outputs. Your expertise can directly influence tools designed to support clinical documentation accuracy, coding integrity, and revenue cycle quality.

The Role

OpenTrain AI is seeking an expert Clinical Documentation Integrity AI Reviewer to evaluate AI tools that support clinical documentation improvement. You will review AI-generated clinical documentation improvement suggestions, physician queries, and coding recommendations, then provide structured clinical feedback for healthcare AI training datasets.

The work also supports CDI program workflows, documentation quality monitoring, and accurate capture of diagnoses, procedures, severity of illness, and risk of mortality. This is a part-time contractor opportunity for candidates located in the United States.

• Pay: $84 USD per hour
• Time requirement: 20+ hours per week
• Engagement: Part-time contractor
• Location: United States
• Working language: English

What You'll Do

You will apply your CDI and clinical documentation expertise to assess AI-generated content and identify opportunities to improve accuracy, compliance, and clinical usefulness.

• Review AI-generated CDI suggestions, physician queries, and coding recommendations for accuracy and compliance
• Support inpatient and outpatient CDI workflows, including concurrent and retrospective review
• Provide structured clinical feedback and annotations for AI training datasets
• Monitor query response rates, CC/MCC capture, case mix index, and DRG accuracy
• Help improve physician query processes and documentation education
• Evaluate clinical records for accurate capture of diagnoses, procedures, severity of illness, and risk of mortality

Required Qualifications

This role requires substantial experience leading or supporting clinical documentation integrity programs. Candidates should be able to interpret medical records precisely and evaluate documentation against applicable clinical, coding, and compliance expectations.

Familiarity with AHIMA, ACDIS, CMS, and official coding guidance is important for reviewing physician queries and coding-related recommendations.

• Experience leading clinical documentation integrity or improvement programs
• Deep knowledge of CDI workflows, including concurrent and retrospective review
• Deep knowledge of MS-DRG methodology and CC/MCC hierarchies
• Strong knowledge of ICD-10-CM/PCS coding
• Experience managing physician queries using compliant query standards
• Ability to evaluate clinical documentation for accuracy, compliance, and risk capture
• CCDS, CDIP, RN, RHIA, CCS, or comparable clinical or coding background
• Strong written and verbal English skills
• Ability to work independently in a remote environment
• Familiarity with CDI software platforms and EHR systems

Helpful Experience

The following background can help you contribute across a broader range of CDI evaluation and healthcare AI training tasks.

• HCC risk adjustment experience
• Outpatient CDI experience
• Familiarity with AI-assisted CDI tools
• Experience with CDI software platforms such as 3M, Nuance, or Optum360
• Experience presenting CDI performance metrics to leadership

Why This Work Matters

Every major AI system depends on examples prepared and reviewed by people. In this role, your specialized healthcare knowledge helps train systems to handle clinical documentation and coding-related tasks with greater care and precision.

AI training work is part of a fast-growing technology field and can offer flexible remote opportunities for experts who want to shape how advanced AI systems are built.

How to Apply

Apply through OpenTrain by creating a free account and building a profile that highlights your CDI leadership, coding knowledge, credentials, and healthcare documentation experience. Review the project details and submit your application for consideration.