Medicare Risk Adjustment Coder | Audits & Compliance

RELI Group, Inc.; Baltimore (MD); On-site; USD 45,000 - 55,000; Full time

Job summary

RELI Group, Inc. is seeking 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 will have strong ICD-9-CM/ICD-10-CM knowledge and a proven track record of high accuracy and productivity.

The role requires independent work, excellent communication, and strict adherence to confidentiality while maintaining processing efficiency in a fast-paced environment.

Qualifications

• Minimum 1 year of coding experience in acute hospital (inpatient/outpatient) and/or multi-specialty physician office records.
• Certified coder status by a recognized credentialing body (AAPC or AHIMA) with CPC/CCS/RHIA/RHIT credentials.
• CRC certification is a plus; experience in Risk Adjustment Data Validation or CMS-HCC audits preferred.
• Ability to read, analyze, and interpret physician documentation; maintain confidentiality.

Responsibilities

• Perform diagnosis coding of inpatient, outpatient, and physician office records per Risk Adjustment and Medicare Part C guidelines.
• Conduct intake validity checks on records for specialty type, dates of service, signatures, and attestations; log all processes per guidelines.
• Review feedback from Senior Coders to improve accuracy and quality.
• Enter data into encoder and related systems using a PC.
• Maintain security and confidentiality of PHI and meet productivity targets.

Skills

Attention to detail

Independent worker

Team collaboration

Communication skills

Confidentiality

Microsoft Office

Education

CPC

CCS

RHIA

RHIT

Tools

Microsoft Office Suite

Job description

RELI Group, Inc. is seeking 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 will have strong ICD-9-CM/ICD-10-CM knowledge and a proven track record of high accuracy and productivity.

The role requires independent work, excellent communication, and strict adherence to confidentiality while maintaining processing efficiency in a fast-paced environment.