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Senior Medical Coder
Location
Maryland
Posted
9 days ago
Salary
$65K - $75K / year
Seniority
Senior
Job Description
Senior Medical Coder
Reli Group
• 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.
Job 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
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