Expert Reviewer, Medical Coding and Payment Integrity

You’ll check billing and diagnosis codes, and the payment rules cited for them, that our automated checks could not settle. This work never involves patient information.

What you’ll do

• Check that each diagnosis, procedure and supply code is valid in the official code set for the period it is used in.
• Check that code combinations and modifiers are consistent with the official coding guidelines and edits.
• Check that a cited coverage or payment policy exists, is current and says what it is cited for.
• Check that the provider named in a record matches the official provider registry.

For each item, you decide verified, not verified or not decidable, with a short written rationale and the sources you used. We would much rather you say “not decidable” than guess. The records are code, policy and provider reference data only. You never see patient information, and you do not make clinical or coverage decisions about anyone.

You have

• At least one of: a current medical coding certification (for example CPC, COC, CIC, CCS or CCS-P); a coding-audit or clinical documentation certification (for example CPMA, CDIP or CCDS); an RHIT or RHIA credential; or an active U.S. registered nurse licence with coding, documentation-integrity or utilization-review experience.
• Hands-on work with the official code sets and edits, and with published coverage and payment policies.
• Care, and the discipline to say “not decidable” when the record doesn’t settle it.
• Fluent written English.

We confirm each credential with the body that issued it (the certifying association or the state board), only with your written consent.

Pay

• $55–$95 per hour (W-2).
• $55–$70 for certified medical coders (for example CPC, COC, CIC, CCS, CCS-P or RHIT); $70–$85 for certified coding auditors and clinical documentation specialists (for example CPMA, CDIP, CCDS or RHIA); $70–$95 for registered nurses with an active U.S. licence and coding, documentation-integrity or utilization-review experience. Everyone at the same level starts at the same rate.
• Pay is hourly, for all time worked. It is never per piece.
• Quality bonus: an extra 15% of your pay for an assignment’s hours when your accuracy on its answer-keyed check items is at least 95% and none of your decisions on it is reversed in our second review. It is paid with your regular pay on the next payday.
• Hard-to-fill assignments may carry a premium of up to 25%, stated in the offer before you accept it.
• The range is the pay we reasonably expect to offer. Everyone at the same level starts at the same rate.
• Benefits: paid sick leave as required by law; workers’ compensation; reimbursement of necessary remote-work expenses. Any other benefits are stated in the offer.

How the work is offered

• Work is offered per assignment when customer projects are funded; there are no guaranteed hours; you choose which assignments to accept. When there is no assignment, there is no work and no pay obligation.
• Each offer states the task, an estimated time, the deadline and your hourly rate. Accept or decline it with no penalty.
• You are paid for every hour you work on an accepted assignment, including any time beyond the estimate, with a minimum of one paid hour per accepted assignment.
• Training, the qualification assessment and quality-check tasks are paid at your rate.
• Part-time W-2 employment, not gig or 1099 work: your employer is I Am Violet Inc. (dba Metis Foundry), and you are paid through our payroll provider. Variable hours, with no on-call duty and no scheduled shifts.
• Where we are: we are building our expert pool now. Onboarding and the paid qualification assessment begin when the first customer projects are funded, and we will tell you honestly when that is.

Location and eligibility

• Must reside in and perform all work from within the United States; U.S. work authorization required.
• You must be authorized to work in the United States for the full period of each assignment. We do not sponsor visas.
• F-1 students may apply only with CPT or OPT authorization that covers this work. Please check with your international student office first.
• If you hold a university appointment, fellowship or assistantship, you are responsible for confirming that it allows outside paid work. Metis work must not use university time, equipment or confidential information.
• A background check is run only for roles or assignments that need one, after a conditional offer and with your written authorization.
• No assignment in this role involves export-controlled data or any patient’s information.

How we verify

• We check your degree or enrollment, and your professional credentials, with the bodies that issue them. We do this only with your written consent.
• We verify your identity.
• You take a paid qualification assessment in your field; the passing score is 95%.
• All work happens inside the secure Metis portal: no downloads, no personal AI tools on customer material, and no direct contact with customers.
• Your decisions are delivered under a Metis reviewer ID together with your verified credentials. Your name is shown only with your written consent.