Medical Coder

At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact—whether we’re supporting data-driven decisions, modernizing systems or safeguarding critical programs.

We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records. The ideal candidate has a strong understanding of ICD-9-CM/ICD-10-CM coding guidelines and consistently demonstrates high accuracy and productivity.

Responsibilities:

• Perform diagnosis coding of inpatient, outpatient, and physician office medical records per Risk Adjustment/Medicare Part C guidelines.
• Conduct intake validity checks on medical records submitted to ensure documentation is from an acceptable physician specialty, relevant dates of service, includes an acceptable signature, and attestation is submitted.
• Record all process information in system per contract and organizational guidelines.
• Review feedback from Senior Coders to improve accuracy and quality.
• Accurately enter data into encoder, system, and other software.
• Follow all established processes and procedures.
• Report problems to Project Lead, Manager, or Director regarding 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 minimum 95% IRR.
• Meet attendance standards.
• Interact appropriately with peers, coworkers, contractors, and customers, contributing to a positive team spirit.
• Perform other assigned duties and projects.

Qualifications:

• Minimum of two years experience coding general acute hospital (inpatient and outpatient) and/or multi-specialty physician office medical records using ICD-9-CM/ICD-10-CM coding guidelines.
• Certified coder credentialed by recognized institution (AAPC, AHIMA); certifications such as CPC, CCS, RHIA, RHIT.
• CRC certification is a plus.
• Experience with abstracting and ICD coding preferred.
• Experience in Risk Adjustment Data Validation or CMS-HCC audits preferred.
• Experience performing medical record coding audits including complex abstraction.
• Ability to work independently with concentration.
• Capable of consistency, speed, and accuracy.
• Ability to read, analyze, and interpret physician documentation.
• Effective written and verbal communication skills across all organization levels.
• Team player, able to collaborate internally and externally.
• Proficient in Microsoft Office Suite.
• Flexible, able to prioritize and execute multiple tasks in fast-paced environment.
• Maintains high confidentiality and integrity.

The annual salary range for this position is $45,000.00 to $60,000.00. Actual compensation depends on skills, experience, qualifications, certifications, location, and applicable laws. RELI Group offers a variety of additional employee benefits.