Clinical Coding Annotator (Contract)

| USA | Remote
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Who We Are:

At the intersection of health plans and providers, Apixio is creating a leading Connected Care platform to minimize reimbursement inaccuracies and high-quality patient care so they can thrive as the industry moves toward value-based reimbursement models. 

The combination brings together healthcare expertise, AI/machine learning technology and data-driven analytics solutions to deliver innovative solutions and value to our customers and the healthcare ecosystem. We aim to accelerate the shift toward alternative payment models, while enhancing efficiency and supporting better patient outcomes.

About the Role

We are changing the way healthcare uses data. About 80% of healthcare data is under-used because it is too messy or unstructured to analyze. The healthcare industry needs technology solutions that can process this data and extract insights. This is the challenge that Apixio addresses.

Apixio augments the ability to decipher and understand patient information. This translates into better care delivery, lower costs, and streamlined processes. We process millions of patients every year and we’re growing not only in the number of patients but also the kind of data we analyze. Come help us improve healthcare with technology!

Join our team as a clinical coding annotator and play a role in the development of our models. Your expertise in data labeling and annotation will be essential in ensuring the accuracy and effectiveness of Apixio’s solutions. Working closely with our data scientists, you will be responsible for labeling and annotating large datasets, ensuring that our models are trained on high-quality data. You will also be responsible for identifying and resolving any data quality issues, ensuring that our models are robust and reliable. The clinical coding annotator will also possess the coding skills and sufficient experience to validate coding vendor labels and generated predictions by demonstrating mastery of the coding guidelines, coding clinics, clinical documentation and technical experience.

This is a full time, contract role. The hourly rate will be between $45-$50 per hour.


  • Bachelor's degree or equivalent experience.
  • One or more of the following current certifications: 
    • Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC)
    • Certified Coding Specialist (CCS) by American Health Information Management Association (AHIMA)
    • Certified Risk Adjustment Coder (CRC)  by the American Academy of Professional Coders (AAPC)
    • Certified Clinical Documentation Specialist (CCDS) by The Association of Clinical Documentation Integrity Specialists (ACDIS)
    • Certified Documentation Integrity Practitioner (CDIP) by American Health Information Management Association (AHIMA)
    • Registered Health Information Administrator (RHIA) by American Health Information Management Association (AHIMA)
    • Registered Health Information Technician (RHIT) by American Health Information Management Association (AHIMA)
  • Strong understanding of clinical documentation and ability to classify various quantitative (boundaries of notes) and qualitative (type of document) elements as well as statement of condition, supporting evidence (MEAT elements, labs, meds, provider active voice), contradictory evidence, negating evidence and other pertinent context.
  • Strong attention to detail and ability to maintain data quality standards.
  • Strong communication skills and ability to collaborate with cross-functional teams.
  • Knowledge of data privacy and security regulations.
  • Strong problem-solving skills and ability to troubleshoot challenges.

Bonus Experience (not required, but useful at Apixio; in order of importance)

  • Proficient in data annotation tools.
  • Familiarity with clinical ontologies such as LOINC, SNOMED, RxNorm, RadLex, etc.


  • Annotate and label various types of data according to project guidelines and specifications.
  • Review annotated data for accuracy and completeness, making adjustments as needed.
  • Work collaboratively with data scientists to ensure high-quality annotated data for machine learning models.
  • Provide subject-matter expertise on clinical documentation to various stakeholders.
  • Maintain organized and detailed records of annotated data and any changes made during the annotation process.
  • Communicate any issues or challenges with data annotation to project leads in a timely and professional manner.
  • Adhere to project deadlines and deliver annotated data within predetermined timelines.
  • Perform QA of data science coding vendor project results
  • Assist with model prediction validation

After 3 Months, You Will…

  • Have a strong grasp of technologies upon which our platform is built.
  • Be fully integrated into ongoing clinical annotation and Data Science coding efforts with your team.

After 1 Year, You Will…

  • Be independent in understanding Data Science objectives and creating project guidelines and other user training materials.
  • Be communicating with product managers and customer success managers to contribute to the success of models and the encompassing product.
  • Be a subject matter expert on Apixio’s Data Science coding and clinical annotation methodologies and a source from which other teams can seek information and recommendations.

This is a full time, contract role. The hourly rate will be between $45-$50 per hour.

The salary range below is for Base Salary.  Total compensation also includes benefits and variable compensation.  Compensation will be determined based on several factors including, but not limited to, skill set, years of experience, and the employee’s geographic location.

Base Compensation

$45$50 USD

We recognize that people come with experience and talent beyond just the technical requirements of a job. If your experience is close to what you see listed here, please consider applying. Diversity of experience and skills combined with passion is a key to innovation and excellence. Therefore, we encourage people from all backgrounds to apply to our positions. Your skills and background may be more translatable to this role than you initially thought.  Allow us the opportunity to get to know you.  Please let us know if you require accommodations during the interview process.

What Apixio can offer you:

  • Meaningful work to advance healthcare 
  • Competitive compensation
  • Exceptional benefits, including medical, dental and vision, FSA
  • 401k with company matching up to 4%
  • Generous vacation policy
  • Remote-first & hybrid work philosophies
  • A hybrid work schedule (2 days in office & 3 days work from home) (Note: If the position is designated as REMOTE it will stay REMOTE)
  • Modern open office in beautiful San Mateo, CA; Los Angeles, CA; San Diego, CA; Austin, TX and Dallas, TX
  • Subsidized gym membership
  • Catered, free lunches
  • Parties, picnics, and wine-downs
  • Free parking

We take your privacy very seriously. Please review our privacy policy to see exactly how we protect your information here

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace.

Notice to Recruiters/Staffing Agencies

  • Recruiters and staffing agencies should not contact Apixio through this page. All recruitment vendors (search firms, recruitment agencies, and staffing companies) are prohibited from contacting our hiring manager(s), executive team members, or employees
  • We require that all recruiters and staffing agencies have a fully executed, formal written agreement on file
  • Apixio receipt or acceptance of an unsolicited resume submitted by a vendor organization to this website or employee does not constitute an actual or implied contract between Apixio and such organization and will be considered unsolicited and Apixio will not be responsible for related fees


More Information on APIXIO
APIXIO operates in the Artificial Intelligence industry. The company is located in San Mateo, CA, La Jolla, CA and Tampa Bay, FL. APIXIO was founded in 2009. It has 300 total employees. It offers perks and benefits such as Volunteer in local community, Open door policy, OKR operational model, Team based strategic planning, Pair programming and Open office floor plan. To see all 17 open jobs at APIXIO, click here.
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