Primary Coder

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.

Summary/Objective

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, is submitted. 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 as 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.