Senior Medical Coder

Job not on LinkedIn

🔥 1 minute ago

🦀 Maryland – Remote

🦀 Maryland – Remote

💵 $65k - $75k / year

⏰ Full Time

🟠 Senior

🏥 Medical Billing and Coding

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Reli Group

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 2025

🛍️ eCommerce

🏪 Marketplace

eCommerce • Marketplace

Reli Group is a Prague-based online marketplace and e-commerce platform that connects sellers and buyers through a web storefront. The site features a product catalogue, shopping cart, orders, favorites, and seller/buyer account areas, and includes privacy and cookie management tools. It appears focused on enabling transactions and managing online storefront functionality for third-party sellers and consumers.

📋 Description

• Perform diagnosis coding of inpatient, outpatient, and physician office medical records per Risk Adjustment/Medicare Part C guidelines. • Perform intake validity checks on each medical record submitted. • Perform Medical Record Dispute and Appeal reviews. • Provide Appeals support as RADV Subject Matter Expert at CMS request. • Participate and contribute to QA Panel discussions for medical record review intake/coding and appeals. • Interact with the physician reviewer(s) as required. • Accurately enter data into encoder, system, and other as required software using a personal computer, keyboard and/or mouse. • Consistently meet or exceed productivity and accuracy standards of 95% minimum IRR established by the customer and/or the company.

🎯 Requirements

• A minimum of five (5) years of experience in coding general acute hospital (inpatient and outpatient ) and/or multi-specialty physician office medical records by applying ICD-9-CM/ICD-10-CM coding guidelines. • Must be a certified coder who is credentialed by a recognized credentialing institution (AAPC, AHIMA). • Acceptable certifications: CPC, CCS, RHIA, RHIT CRC certification is a plus • Experience in leading and/or supervising personnel in abstracting and ICD-9/ICD-10 coding preferred. • Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred • Experience in performing medical record coding audits including complex medical record abstraction. • Ability to work independently and maintain an elevated level of concentration. • Capable of consistency, speed, and accuracy of task. • Ability to read, analyze, and interpret physician documentation. • Ability to communicate clearly and professionally with all levels of the organization, both written and verbal. • Ability to work well in a team environment, to collaborate with others, and interface with team members internal and external to the organization. • Must be proficient 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.

🏖️ Benefits

• Health insurance • 401(k) • Paid time off • Professional development opportunities