Lead Senior Coder QA

Job not on LinkedIn

🕒 September 30

🦀 Maryland – Remote

🦀 Maryland – Remote

💵 $65k - $75k / year

⏰ Full Time

🟠 Senior

🔧 QA Engineer (Quality Assurance)

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 20%

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Reli Group

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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 primary and secondary coding validation review of inpatient, outpatient, and physician office medical records per RADV guidelines • Perform intake evaluation, including validity status of medical records and attestations, non-compliance issues, and other validation checks required by RADV guidelines • Perform Medical Record Dispute and Appeal reviews per RADV guidelines • Perform quality assurance of coder reviews and provide feedback and training to coders • Oversee a team of up to 15 primary and senior coders, provide guidance, and answer questions • Mediate coding decisions between Senior and Primary Coders and provide feedback • Answer questions from Primary and Senior Coders through the escalation process • Accurately enter data into encoder, CDAT-M, 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 • Interact appropriately with peers, co-workers, contractors, and customers • Contribute to a positive team spirit • Assist the Project Director with development of training materials • Assist with training new coders • Perform other duties and projects assigned by the Project Director

🎯 Requirements

• High School education level • Must be a certified medical coder • Certification from any recognized United States medical coding credentialing institution • Minimum five (5) years of experience in abstracting and ICD-9/ICD-10-CM coding of general acute hospital (inpatient and outpatient) and physician medical records • Ability to apply ICD-9/ICD-10-CM Coding Guidelines for inpatient and outpatient settings and related Official Coding Clinics • Ability to function in a lead role and/or train medical record reviewers • Knowledge and skills to serve as “Master Coder” (i.e., gold standard) for all medical record coding projects • Consistently meet or exceed a 95% minimum IRR accuracy standard • Consistently meet company attendance standards • Maintain security and confidentiality of medical records and Protected Health Information (PHI)

🏖️ Benefits

• Additional benefits are provided as part of the total compensation package • Equal Employment Opportunity / Affirmative Action employer • HUBZone candidates are encouraged to apply

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