Medical Coder: Risk Adjustment & Medicare Part C Audits

RELI Group; Maryland; On-site; USD 45,000 - 55,000; Full time

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

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