Primary Medical Coder

Reli Group•Windsor Mill, MD

About The Position

Perform intake and coding of medical records and enter corresponding data into the CMS Tool in accordance with contractual and organizational guidelines. The role supports the Project Director with additional responsibilities as requested. The Primary Medical Coder performs diagnosis coding for inpatient, outpatient, and physician office records under Risk Adjustment Data Validation (RADV) guidelines; checks submitted records for validity; records process information in CDAT-M; and maintains the security and confidentiality of medical records and Protected Health Information (PHI). The position requires meeting customer and company productivity and accuracy standards, including a minimum 95% IRR, and established attendance standards. The annual salary range is $45,000 to $52,000, with actual compensation depending on factors including skills, experience, qualifications, certifications, and location. RELI Group states that it provides additional employee benefits, but the specific benefits are not listed in the posting.

Requirements

Experience coding general acute hospital (inpatient and outpatient) and/or multispecialty physician office medical records using ICD-9-CM/ICD-10-CM coding guidelines.
Experience performing medical record coding audits, including complex medical record abstraction.
Must be a certified coder credentialed by a recognized credentialing institution.
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 and professional written and verbal communication skills.
Ability to work collaboratively in a team environment and interface with internal and external team members.
Ability to establish and maintain effective professional relationships with internal and external stakeholders.
Ability to adapt to organizational change.
Proficiency in Microsoft Office Suite.
Ability to plan, prioritize, and execute multiple tasks in a fast-paced environment.
Self-motivated, well-organized, and detail-oriented.
Ability to maintain a high level of confidentiality and integrity.

Nice To Haves

At least one year of non-internship experience coding general acute hospital (inpatient and outpatient) and multispecialty physician office records using ICD-10-CM guidelines for inpatient, outpatient, and physician settings, and related Official Coding Clinic.

Responsibilities

Perform diagnosis coding of inpatient, outpatient, and physician office medical records in accordance with RADV guidelines.
Perform intake validity checks to confirm that each submitted record is from an acceptable physician specialty, has dates of service relevant to the RADV audit, includes an acceptable physician or practitioner signature, and includes the submitted CMS-Generated Attestation.
Record process information in CDAT-M according to contract and organizational guidelines and processes.
Review feedback from Lead Senior Coder QA to improve work accuracy and quality.
Enter data accurately into an encoder, CDAT, 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 Director.
Maintain security and confidentiality of medical records and PHI.
Consistently meet or exceed customer and company productivity and accuracy standards, including a minimum 95% IRR.
Meet company attendance standards.
Interact appropriately with peers, coworkers, other contractors, and the customer when necessary.
Contribute to a positive team environment.
Perform other duties and projects as assigned.