About Us
RELI Group partners with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. The team of over 500 professionals focuses on delivering meaningful outcomes through data-driven decisions, system modernization, and program protection.
The company is seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records. The ideal candidate has a strong understanding of ICD-9-CM/ICD-10-CM coding guidelines and consistently demonstrates high accuracy and productivity.
Responsibilities
- Perform diagnosis coding of inpatient, outpatient, and physician office medical records per Risk Adjustment/Medicare Part C guidelines.
- Perform intake validity checks on each medical record to ensure acceptable physician specialty type, relevant dates of service, acceptable physician/practitioner signature, and submitted attestation.
- Record all process information in the system according to contract and organizational guidelines.
- Review feedback from Senior Coders to improve accuracy and quality of work.
- Accurately enter data into encoder systems and other required software.
- Follow all established processes and procedures.
- Report unique record or process issues to the Project Lead, Project Manager, or Project Director.
- Maintain security and confidentiality of medical records and Protected Health Information (PHI).
- Meet or exceed productivity and accuracy standards of 95% minimum IRR.
- Meet attendance standards established by the company.
- Interact professionally with peers, contractors, and customers.
- Perform other duties and projects as assigned.
- Minimum of 1 year of experience coding general acute hospital inpatient and outpatient records and/or multi-specialty physician office records using ICD-9-CM/ICD-10-CM guidelines.
- Must be a certified coder credentialed by a recognized institution such as AAPC or AHIMA.
- Acceptable certifications: CPC, CCS, RHIA, RHIT.
- CRC certification is a plus.
- Experience in abstracting and ICD-9/ICD-10 coding preferred.
- Experience with Risk Adjustment Data Validation or CMS-HCC audits preferred.
- Experience performing medical record coding audits, including complex medical record abstraction.
- Ability to work independently and maintain a high level of concentration.
- Strong consistency, speed, and accuracy.
- Ability to read, analyze, and interpret physician documentation.
- Strong written and verbal communication skills.
- Ability to collaborate effectively with internal and external team members.
- Proficiency in Microsoft Office Suite.
- Ability to prioritize and execute multiple tasks in a fast-paced environment.
- High level of confidentiality and integrity required.
RELI Group offers a variety of additional benefits to employees.
Location
Baltimore, Maryland, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$45,000 - $55,000
Remote work allowed
No
Posted
2 weeks ago