RELI GroupRG

Medical Coder II

RELI Group, Inc. is a management consulting firm founded in 2013 that supports federal, state, and local programs in the health, safety, and security sectors by providing innovative IT solutions and consulting services.

RELI Group

Employee count: 501-1000

Salary: 40k-65k USD

United States only

Job Details

Job Location Catonsville, MDRemote Type Fully RemotePosition Type Full TimeEducation Level Not Specified

Description

About Us:

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

Responsibilities:

  • Perform coding validation accuracy reviews of automated and complex Medicare Part A and Part B medical record and claims review in accordance with all Federal regulations/guidelines, CMS coding policies and coding clinics
  • Document findings for each claim and a clear and concise manner. Compile a report explaining the coding reviews, including identified patterns, inappropriate coding, as well as recommendations
  • Perform Inpatient DRG validation and Ambulatory Payment Classification (APC) reviews to include the review documents used
  • Perform coding validation of the medical record reviews in response to RAC disputes/disagrees with the RVC review decisions
  • Maintain a Quality Assurance monthly score of 95% or greater

Qualifications

Requirements:

  • Certified Coder from an accredited association, such as AAPC or AHIMA
  • Certified Coders may also be Registered Health Information Administrators (RHIA) and Registered Information Technicians (RHIT) credentialed by AHIMA
  • Not excluded or sanctioned from working with the Centers for Medicare and Medicaid Services (CMS)
  • A minimum of three (3) years direct coding or billing experience in the specific coding field that they will perform
  • Ability to work well in a remote team environment, to collaborate with others, and interface with team members internal and external to the organization
  • Proficient in explaining review decision through written decisions using related regulations and references
  • All aspects of Inpatient and Outpatient coding (ICD-10, CPT, HCPCS) experience

​​​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.

The annual salary range for this position is $40,000 to $65,000. 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. For additional details on the benefits that RELI Group offers click here.

About the job

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Job type

Full Time

Experience level

Mid-level

Salary

Salary: 40k-65k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About RELI Group

Learn more about RELI Group and their company culture.

View company profile

RELI Group, Inc. is at the forefront of technological advancement, revolutionizing how government agencies approach health, safety, and security challenges. Since its inception in 2013, RELI Group has consistently delivered innovative IT solutions and management consulting services, empowering federal, state, and local programs to better serve the American public. Through groundbreaking technology, the company specializes in critical areas such as healthcare IT, population health, cybersecurity, and data analytics. RELI Group's commitment to innovation is evident in its adoption of cutting-edge technologies like Ansible, AWS Service Catalog, Microsoft Active Directory, OpenID Connect, Hugging Face, C++, Ruby, and VMware. This robust tech stack enables the development of sophisticated systems and platforms, such as the RELI-Ability platform, which streamlines medical data evaluation and improves operational efficiency for healthcare providers. The company's focus extends to modernizing IT systems, implementing the latest technological breakthroughs, and offering expert guidance on process optimization, particularly within the healthcare sector. RELI Group's approach involves a comprehensive suite of services, including application development, end-to-end technology solutions, architecture integration, DevOps, infrastructure automation, project management, and program support. This holistic strategy ensures that public agencies are equipped with the tools and expertise needed to navigate complex transformations and enhance service delivery to citizens.

RELI Group's dedication to advancing public sector capabilities is further demonstrated by its significant contributions to national security initiatives and its focus on cybersecurity. The company has made strategic leadership appointments to bolster its expertise in these domains, underscoring its commitment to securing government initiatives. By leveraging a diverse and skilled workforce of over 500 employees across more than 35 states and Puerto Rico, RELI Group fosters a culture of innovation and continuous improvement. The company actively supports major federal agencies, including the Centers for Medicare & Medicaid Services (CMS), the Centers for Disease Control and Prevention (CDC), and the Transportation Security Administration (TSA). This extensive experience has allowed RELI Group to build a strong reputation for delivering impactful solutions that address fraud, waste, and abuse, while ensuring high-quality care and improved public safety. The company's innovative spirit is not just about technology; it's about creating a tangible, positive impact on the lives of Americans by enhancing the efficiency, security, and effectiveness of government programs through pioneering technological solutions and expert consulting.

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RELI Group

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RELI Group hiring Medical Coder II • Remote (Work from Home) | Himalayas