Risk-Adjustment Medical Coder for Medicare Audits

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

Job summary

RELI Group Inc in Woodlawn, MD 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.

You will apply ICD-9-CM/ICD-10-CM guidelines, perform intake validity checks, and ensure documentation authenticity and physician signatures. The role requires certification (CPC, CCS, RHIA, RHIT) and a track record of 95% productivity/accuracy with confidential PHI handling.

Qualifications

• Must be a certified coder (CPC, CCS, RHIA, RHIT).
• Experience with ICD-9-CM/ICD-10-CM coding guidelines.
• Exposure to Risk Adjustment Data Validation or CMS-HCC audits preferred.
• Ability to work independently with high concentration and accuracy.

Responsibilities

• Code inpatient, outpatient, and physician office records per Risk Adjustment guidelines.
• Perform intake validity checks for proper specialty type, dates, and signatures.
• Enter data into encoder and systems, maintaining PHI confidentiality.
• Aim for 95% minimum IRR and maintain attendance and productivity.

Skills

ICD-9-CM/ICD-10-CM coding

Risk Adjustment audits

Medical records interpretation

Microsoft Office Suite

Education

CPC

CCS

RHIA

RHIT

Tools

Encoder system

Job description

RELI Group Inc in Woodlawn, MD 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.

You will apply ICD-9-CM/ICD-10-CM guidelines, perform intake validity checks, and ensure documentation authenticity and physician signatures. The role requires certification (CPC, CCS, RHIA, RHIT) and a track record of 95% productivity/accuracy with confidential PHI handling.