Senior Medical Coder - Remote RADV Specialist

AAPC; United States; Remote; USD 60,000 - 65,000; Full time

Job summary

RELI Group in the United States is seeking a Senior Coder to perform intake and coding validation on medical records and enter the data into CMS tools in accordance with RADV guidelines.

The role requires experienced coders with ICD-9-CM/ICD-10-CM knowledge, the ability to review records, write technical notes, and support the Project Director.

You will maintain PHI confidentiality, participate in QA discussions, and strive for 95% IRR while meeting productivity and attendance standards.

Qualifications

• Experience in coding general acute hospital records using ICD-9-CM/ICD-10-CM guidelines.
• Certified coder credentialed by a recognized institution.
• Ability to perform medical record audits and complex data validation.

Responsibilities

• Perform diagnosis coding of inpatient, outpatient, and physician office records per RADV guidelines.
• Evaluate intake validity, attestations, non-compliance issues, and other validations.
• Conduct Medical Record Disputes and Appeals reviews with technical writing per RADV.
• Provide Appeals support as RADV SME at CMS requests.
• Enter data into encoder/CDAT-M and other required software accurately.

Skills

Independent work

Concentration

Attention to detail

Medical record coding

RADV guidelines knowledge

Communication skills

MS Office

Team collaboration

Education

High School diploma

Tools

Encoder/CDAT-M

RADV tools

Job description

RELI Group in the United States is seeking a Senior Coder to perform intake and coding validation on medical records and enter the data into CMS tools in accordance with RADV guidelines.

The role requires experienced coders with ICD-9-CM/ICD-10-CM knowledge, the ability to review records, write technical notes, and support the Project Director.

You will maintain PHI confidentiality, participate in QA discussions, and strive for 95% IRR while meeting productivity and attendance standards.