Medical Coder

RELI Group

Maryland

On-site

USD 45,000 - 55,000

Full time

6 days ago
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Benefits offered by this job

HUBZone eligible
Benefits package
Equal Employment Opportunity

Job summary

RELI Group seeks a detail-oriented Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office records. The ideal candidate is certified (CPC/CCS/RHIA/RHIT) with ICD-9-CM/ICD-10-CM proficiency, at least 1 year of experience, and the ability to maintain high accuracy and confidentiality in a fast-paced environment.

Excellent benefits and HUBZone-friendly opportunities are noted; competitive compensation aligns with

Qualifications

  • Certified coder with ICD-9-CM/ICD-10-CM proficiency and credentials.
  • 1+ year experience coding inpatient/outpatient hospital or multi-specialty records.
  • Experience with Risk Adjustment Data Validation or CMS-HCC audits preferred.
  • Ability to work independently with high accuracy and confidentiality.

Responsibilities

  • Code inpatient, outpatient, and physician office records per guidelines (Risk Adjustment/Part C).
  • Perform intake validity checks on records for Part C audits.
  • Enter data into encoder and related systems promptly.
  • Maintain PHI confidentiality and meet productivity standards (95% IRR).
  • Collaborate with Senior Coders and project leads as required.

Skills

ICD-9-CM/ICD-10-CM coding
Risk Adjustment / CMS audits
Attention to detail

Education

CPC
CCS
RHIA
RHIT
CRC certification (plus)

Tools

Microsoft Office Suite

Job description

Medical Coder# Medical CoderHot JobWindsor Mill, MD 21224## OverviewSalary Range$45,000.00 - $55,000.00 SalaryPosition TypeFull TimeEducation LevelNone## Description**About Us:***At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact—whether we’re supporting data-driven decisions, modernizing systems or safeguarding critical programs.*---We are 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 submitted to ensure the submitted medical record documentation is from an acceptable physician specialty type, relevant dates of service for the specific Part C audit, include an acceptable physician/practitioner signature, and review submitted Attestation, is submitted. Record all process information in system in accordance with contract and organizational guidelines and processes.* Review feedback from Senior Coders to improve accuracy and quality of work.* Accurately enter data into encoder, system, and other as required software using a personal computer, keyboard and/or mouse.* Follow all established processes and procedures.* Report problems to Project Lead, Project Manager, or Project Director with regard to unique record or process issues.* Maintain security and confidentiality of medical records and Protected Health Information (PHI).* Consistently meet or exceed productivity and accuracy standards of 95% minimum IRR established by the customer and/or the company.* Consistently meet attendance standards established by the company.* Interact appropriately with peers, co-workers, other Contractors, and the customer, when necessary. Contribute to building a positive team spirit.* Perform other duties and projects assigned.## Qualifications* A minimum of one (1) years of experience in coding general acute hospital (inpatient and outpatient, non-internship) and/or multi-specialty physician office medical records by applying ICD-9-CM/ICD-10-CM coding guidelines.* Must be a certified coder who is credentialed by a recognized credentialing institution (AAPC, AHIMA). Acceptable certifications: CPC, CCS, RHIA, RHIT* CRC certification is a plus* Experience in abstracting and ICD-9/ICD-10 coding preferred.* Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred* Experience in performing medical record coding audits including complex medical record abstraction.* Ability to work independently and maintain an elevated level of concentration.* Capable of consistency, speed, and accuracy of task.* Ability to read, analyze, and interpret physician documentation.* Ability to communicate clearly and professionally with all levels of the organization, both written and verbal.* Ability to work well in a team environment, to collaborate with others, and interface with team members internal and external to the organization.* Must be proficient in Microsoft Office Suite.* Flexibility and ability to plan, prioritize, and execute multiple tasks in a fast-paced environment.* Ability to maintain a high level of confidentiality and integrity.---**EEO Employer:**RELI Group is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.**HUBZone:**We encourage all candidates who live in a HUBZone to apply. You can check to see if your address is located in a HUBZone by accessing the SBA HUBZone Map.The annual salary range for this position is $45,000 to $55,000. Actual compensation will depend on a range of factors, including but not limited to the individual’s skills, experience, qualifications, certifications, location, other business and organizational needs, and applicable employment laws. The estimate displayed represents the typical salary range for this position and is just one component of the total compensation package for employees. RELI Group provides a variety of additional benefits to its employees. For additional details on the benefits that RELI Group offers click here
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