$45-$110/hr medical coding work, on your schedule
Review a model's codes, modifiers, and claims like a queue before submission, flagging the upcode, the unbundling, the documentation that won't support it. Remote, paid hourly, on your schedule.
Trusted by top research companies
Hi, we're Zac and Jack, the founders of Terac. We want to talk to you directly, because you are the most important part of what we're building.
Terac is a community of experts. People who have spent years getting good at something specific and hard. The world is about to need more of you, not less. As AI takes on more of the world's work, the bottleneck shifts to the people who actually know what they're talking about.
Expert labor is the rarest resource in the world right now, and it is shockingly hard to find. The companies that need a CPC coder's eye on an unbundled claim spend weeks chasing people, paying placement fees, and settling for whoever is available. Meanwhile thousands of qualified people are sitting with knowledge that no one ever asks for.
That gap is what we're here to close. Every project that lands on Terac is routed to the people who actually know the answer, on their schedule, paid fairly, and only when the work is verified. No middleman taking a cut of your time. No vague gigs. No chasing checks.
We care about every single person in this community. If you join Terac, you're not a row in a database to us. We read the feedback. We answer the emails. We will fight for you when a customer is being unreasonable, and we will be honest with you when something on our side is broken. The quality of this panel is our entire company, and we owe you a serious bar.
If you've made it this far, here is what we're asking: claim your profile. Put your expertise on the record. Let the world's most ambitious teams come find you for the work only you can do.
Medical Coding questions
Still curious? Write to us at support@terac.com.
Both credentials qualify. A large share of AI coding work involves physician practice and clinic settings where CPT and ICD-10-CM are the primary code sets, so outpatient professional-fee coding is actively useful. CCS holders working UB-04 claims and DRG assignment are in equal demand for inpatient review. You do not need both credentials.
Tasks are encoder-agnostic and test your knowledge of the official code sets, ICD-10-CM/PCS guidelines, CPT conventions, and AHA Coding Clinic guidance, not a software interface. You read documentation and assigned codes in plain text and judge accuracy, sequencing, and compliance without logging into an encoder.
No. The work does not involve real patient records, submitting claims, or advising on live billing, so it falls outside the AHIMA Standards of Ethical Coding and the AAPC Code of Ethics. You evaluate synthetic or de-identified scenarios and explain expert reasoning, much like writing a coding textbook or teaching a cert prep course.
Specialization is an advantage. Risk adjustment coders fluent in CMS-HCC hierarchies, oncology coders working C-codes and surgical approach distinctions, and CDI-adjacent coders who know query workflows are especially useful where errors are most consequential. You are matched to task types that align with your documented specialty.
You typically work with realistic documentation excerpts such as operative reports, H&P notes, discharge summaries, and radiology or pathology reports, alongside the assigned codes and any rationale the model gave. You judge whether diagnoses, procedure codes, and sequencing follow current Official Guidelines and payer rules, and sometimes write your own rationale step by step.
Why your expertise matters
One code swap between a principal diagnosis and a comorbidity can flip a DRG, trigger a RAC audit, or deny a claim. Models routinely hallucinate specificity the documentation never supported, or miss CC/MCC capture worth thousands. Judging whether an ICD-10-CM, CPT, or HCPCS code holds up against payer scrutiny is exactly what these tools need.
How pay works
Reach the top of the band with active credentials (CPC, CCS, CIC, or COC), multi-specialty or inpatient facility experience, and audit-level depth in MS-DRG optimization, CC/MCC validation, or HCC risk adjustment. All work is remote and paid hourly on verified completion. No minimum hours, no retainer, no AI background expected.
What the work looks like
A sample of the medical coding work you would pick up. Every project is scoped, remote, and paid on verified completion.
- Review a model's ICD-10-CM and CPT set for a complex E&M note and flag codes assigned without documentation support under the 2024 AMA guidelines.
- Annotate operative reports where the model chose wrong ICD-10-PCS principal procedure codes, explaining which root operation and body part values apply.
- Evaluate AI-drafted HCC recommendations against the progress notes and mark suspect captures that would not survive a risk adjustment data validation audit.
- Write a worked example for a multi-trauma inpatient case showing principal diagnosis sequencing under UHDDS guidelines, the way an experienced inpatient coder reasons through it.
- Score AI-assigned modifier combinations on outpatient surgical claims, noting where a 59 modifier was applied without meeting distinct procedural service criteria.
- Stress-test a coding assistant with ambiguous cardiology cath reports and document where it over-specified beyond what the physician documentation supports.
Specialties we match
Medical Coding projects span a wide range of focus areas. Tell us where you go deep and we route the work that fits.
- ICD-10-CM/PCS coding
- CPT and HCPCS Level II
- MS-DRG and APR-DRG assignment
- HCC risk adjustment coding
- Outpatient facility (UB-04) coding
- Professional fee (CMS-1500) coding
- CPC / CCS / CIC credential maintenance
- Encoder tools (3M, Optum360, TruCode)
- RAC and payer audit response
- CDI query review
- Modifier application and bundling rules
- Compliance and medical necessity review
