Lead Senior Coder QA

Reli Group

. Perform primary and secondary coding validation review of inpatient, outpatient, and physician office medical records per RADV guidelines .

Posted 9/30/2026full-timeRemote • Maryland • United StatesSenior💰 $65,000 - $75,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in ICD-9/ICD-10-CM coding for inpatient and outpatient medical records, ensuring compliance with RADV guidelines while maintaining the security and confidentiality of medical records and PHI. Proven ability to lead and train a team of coders, providing quality assurance and feedback to enhance coding accuracy.

Highest-signal resume keywords

Certified Medical CoderICD-9/ICD-10-CM CodingMedical Record ValidationQuality AssuranceTeam Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-9 CodingICD-10-CM CodingMedical Record ReviewData EntryCoding Guidelines Application

Soft Skills

Team CollaborationCommunicationConflict MediationTraining and Development

Tools & Technologies

EncoderCDAT-MPersonal Computer

Certifications & Qualifications

Certified Medical CoderCertification from Recognized Medical Coding Institution

Industry Keywords

RADV GuidelinesProtected Health Information (PHI)Inpatient CodingOutpatient CodingMedical Record Dispute

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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