$55-$125/hr clinical documentation work, on your schedule
Review AI-drafted documentation, provider queries, and DRG assignments like a chart before it drops, flagging the unsupported diagnosis, the missed comorbidity, the leading query. 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 CDI specialist's eye on a record that won't support the DRG 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.
Clinical Documentation questions
Still curious? Write to us at support@terac.com.
Both the CCDS (from ACDIS) and the CDIP (from AHIMA) are recognized equally on Terac. The credential matters less than your ability to reason through clinical validity, specificity, and the physician query process, which is what the tasks actually test.
Narrow sub-specialties are often more valuable than generalist backgrounds, because models are evaluated against the cases where clinical nuance is highest. If your expertise is CC/MCC capture, secondary diagnoses under sepsis criteria, or cardiac hierarchies under MS-DRGs, you will find tasks matched to those areas.
You review and evaluate AI-drafted query drafts for clinical validity, specificity, and AHIMA and ACDIS query compliance, but you are not submitting queries to any real physician or patient record. The work is synthetic and evaluative, so it does not implicate the scope-of-practice boundaries that govern live documentation roles.
Tasks typically involve AI-drafted inpatient records: discharge summaries, H&P notes, and progress notes, focused on whether principal diagnosis selection, secondary diagnoses, and POA indicators align with ICD-10-CM/PCS Official Guidelines and Coding Clinic guidance. You may also evaluate AI-produced clinical validation arguments or denial responses in payer audit scenarios.
A coding credential like the CCS or RHIA is not required. Terac values the clinical judgment side of CDI: assessing documentation completeness, evaluating query compliance, and reasoning through criteria like Sepsis-3 or AHA stroke definitions, which comes from your CDI and nursing background rather than formal coding certification.
Why your expertise matters
CDI sits where ICD-10-CM/PCS specificity, clinical evidence, and reimbursement meet, so models trained without CDI input draft queries and DRG assignments that look plausible but fail on clinical validity. Telling a principal diagnosis that meets CC/MCC criteria from one the record never supported is a call no automated system makes reliably. Revenue cycle and ambient documentation AI needs that check.
How pay works
Reach the top of the band with CCDS or CDIP certification, subspecialty depth in complex DRG families like sepsis, and a record of working queries across payer types. All work is remote, paid by the hour, and released only after your submission is verified. No unpaid reviews, no speculative queues.
What the work looks like
A sample of the clinical documentation work you would pick up. Every project is scoped, remote, and paid on verified completion.
- Review a model's physician query for a sepsis case, flag where it conflated SIRS criteria with Sepsis-3 definitions, and annotate the defensible version.
- Evaluate AI-assigned principal diagnoses against operative notes and H&P documents, marking each supported, unsupported, or needing more clinical evidence.
- Write a worked example of selecting the principal diagnosis in a multi-condition admit, weighing UHDDS guidelines against documented clinical indicators.
- Score AI-drafted working queries for compliance with facility query policy, CMS Conditions of Participation, and AHIMA/ACDIS practice guidelines.
- Identify where an AI-drafted discharge summary risks a HAC flag by documenting a condition without a clear POA indicator, and explain the fix.
- Write a teaching case differentiating acute-on-chronic respiratory failure from acute respiratory failure using only the documentation a model would see.
Specialties we match
Clinical Documentation 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 specificity
- DRG optimization and validation
- CC/MCC capture and clinical evidence review
- Working query composition
- Present-on-Admission (POA) indicator assignment
- Sepsis and SIRS clinical criteria
- UHDDS reporting guidelines
- Surgical complication vs. condition distinction
- CCDS / CDIP credentialing
- Outpatient CDI and HCC risk adjustment
- Clinical documentation template evaluation
- Payer-specific coverage and LCD compliance
