Remote ICD-10 Coder

Job Title: Remote ICD-10 Outpatient Coder, AAPC Certified, Short-Term AI Pilot Project (1099)

Job Type: Contract, 1099, Remote, Part-Time

Pay: $40 to $45 per hour, depending on experience

Location: Remote, US-based only

About the Project

Nightingale's List is sourcing AAPC-certified outpatient coders for a short-term pilot project with a healthcare AI company. This is a contract opportunity to support an exciting initiative comparing US coder performance against established benchmarks, with strong potential to grow into a larger ongoing engagement based on pilot results.

What You'll Be Doing

• Reviewing clinical transcripts and assigning accurate ICD-10-CM codes
  
• Identifying primary diagnoses and secondary conditions
  
• Highlighting sentence-level text spans that support each coding decision
  
• Completing 5 test cases followed by approximately 20 production cases
  
• Working within the client's coding platform, full training and gold standard examples provided
  
• Estimated 30 to 45 minutes per case, roughly 13 to 19 hours of paid labeling work over the pilot
  

Required Qualifications

• AAPC certification required, CPC strongly preferred (CCS-P or CRC also considered)
  
• Currently working in US outpatient medical coding
  
• Strong experience with ICD-10-CM, CPT, HCPCS, and HCC coding
  
• Familiarity with US clinical documentation standards
  
• Experience with chart review and audit workflows
  
• High attention to detail for evidence-based coding
  
• Comfortable working with transcript-style clinical notes
  
• Reliable internet and a quiet remote workspace
  
• Must be US-based and authorized to work in the US
  

Preferred Qualifications

• 5 plus years of outpatient coding experience across mixed specialties
  
• Prior experience with chart audit or QA review
  
• Comfort working in unfamiliar coding platforms with new SOPs
  

Engagement Details

• 1099 independent contractor
  
• Pilot starts week of ~April 21, 2026
  
• Time tracked through client platform during active labeling only, training and SOP review time is unpaid
  
• Paid weekly via direct deposit
  
• Potential for ongoing work if pilot performance is strong
  

About Nightingale's List

Nightingale's List is a national healthcare staffing firm specializing in credentialed clinical professionals. We support facilities and partners across the US with a focus on compliance, responsiveness, and long-term workforce reliability. We treat our contractors like people, not numbers, and we pay on time.