[Hiring] Primary Coder @RELI GROUP INC

Role Description

Perform intake and coding on medical records and enter the corresponding data into CMS Tool in accordance with contractual and organizational guidelines. Assist Project Director with any additional responsibilities requested.

Essential Functions

• Perform diagnosis coding of inpatient, outpatient, and physician office medical records per Risk Adjustment Data Validation (RADV) guidelines.
• Perform intake validity checks on each medical record submitted to ensure the submitted medical record documentation is from an acceptable physician specialty type, relevant dates of service for the specific RADV audit, include an acceptable physician/practitioner signature, and review submitted CMS-Generated Attestation.
• Record all process information in CDAT-M in accordance with contract and organizational guidelines and processes.
• Review feedback from Lead Senior Coder QA to improve accuracy and quality of work.
• Accurately enter data into encoder, CDAT, and other required software using a personal computer, keyboard and/or mouse.
• Follow all established processes and procedures.
• Report problems to Project Director with regard to unique record or process issues.
• Maintain security and confidentiality of medical records and Protected Health Information (PHI).
• Consistently meet or exceed productivity and accuracy standards of 95% minimum IRR established by the customer and/or the company.
• Consistently meet attendance standards established by the company.
• Interact appropriately with peers, co-workers, other Contractors, and the customer, when necessary. Contribute to building a positive team spirit.
• Perform other duties and projects as assigned.

Qualifications

• 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.
• Experience in performing medical record coding audits including complex medical record abstraction.
• Must be a certified coder who is credentialed by a recognized credentialing institution.

Preferred Education and Experience

• A minimum of one (1) year experience (non-internship) in coding general acute hospital (inpatient and outpatient), multi-specialty physician office by applying ICD-10-CM coding guidelines – for inpatient, outpatient and physician settings – and related Official Coding Clinic.

Skills & Abilities

• 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.
• Establishes and maintains effective professional relationships with internal and external stakeholders.
• Must be able to adapt to organizational change.
• Must be proficient in Microsoft Office Suite.
• Flexibility and 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.

EEO Employer

RELI Group is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

HUBZone

We encourage all candidates who live in a HUBZone to apply. You can check to see if your address is located in a HUBZone by accessing the SBA HUBZone Map.

Salary Information

The annual salary range for this position is $45,000 to $52,000. Actual compensation will depend on a range of factors, including but not limited to the individual’s skills, experience, qualifications, certifications, location, other business and organizational needs, and applicable employment laws. The estimate displayed represents the typical salary range for this position and is just one component of the total compensation package for employees. RELI Group provides a variety of additional benefits to its employees.