Medical Coder

Reli Group•Windsor Mill, MD

About The Position

RELI Group is seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits. The role involves accurately coding inpatient, outpatient, and physician office medical records in accordance with applicable coding guidelines and audit requirements. The successful candidate will demonstrate a strong understanding of ICD-9-CM/ICD-10-CM coding guidelines and consistently meet high accuracy and productivity standards.

Requirements

At least one year of non-internship experience coding general acute hospital (inpatient and/or outpatient) and/or multispecialty physician office medical records using ICD-9-CM/ICD-10-CM coding guidelines.
Current coder certification from a recognized credentialing institution such as AAPC or AHIMA; acceptable certifications include CPC, CCS, RHIA, or RHIT.
Ability to work independently and maintain a high level of concentration.
Ability to perform tasks consistently, quickly, and accurately.
Ability to read, analyze, and interpret physician documentation.
Clear, professional written and verbal communication skills with all organizational levels.
Ability to work collaboratively in a team and interface with internal and external team members.
Proficiency 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.

Nice To Haves

CRC certification.
Experience in medical record abstraction and ICD-9/ICD-10 coding.
Experience with Risk Adjustment Data Validation or CMS-HCC audits.
Experience performing medical record coding audits, including complex medical record abstraction.

Responsibilities

Code diagnoses from inpatient, outpatient, and physician office medical records according to Risk Adjustment and Medicare Part C guidelines.
Perform intake validity checks to verify that submitted records are from acceptable physician specialties, cover relevant dates of service, include acceptable physician or practitioner signatures, and include a submitted attestation.
Record process information in the system according to contract and organizational guidelines and processes.
Review feedback from Senior Coders to improve accuracy and work quality.
Accurately enter data into an encoder, system, and other required software using a personal computer, keyboard, and/or mouse.
Follow established processes and procedures.
Report unique record or process issues to the Project Lead, Project Manager, or Project Director.
Maintain the security and confidentiality of medical records and Protected Health Information (PHI).
Meet or exceed customer and/or company productivity and accuracy standards, including a minimum 95% IRR.
Meet company attendance standards.
Interact appropriately with peers, coworkers, other contractors, and customers when necessary.
Contribute to a positive team environment.
Perform other assigned duties and projects.