Lead Senior QA Coder

**Responsibilities:** * Perform primary and secondary coding validation review of inpatient, outpatient, and physician office medical records per Risk Adjustment Data Validation (RADV) guidelines. * Perform intake evaluation include validity status of medical records and attestations, non\-compliance issues, and other validations checks as required per RADV guidelines. * Perform Medical Record Dispute and Appeal reviews per RADV guidelines. * Perform QA of coder reviews and provide feedback and training as needed to coders * Oversee team of up to 15 primary and senior coders providing guidance and answering questions * Mediate coding decisions between the Senior and Primary Coders and give feedback to Coders as appropriate. * Answer questions from Primary and Senior coders through the escalation process. * Accurately enter data into encoder, CDAT\-M, 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. * Assist Project Director with development of training materials. * Assist with training of new coders. * Perform other duties and projects as assigned by the Project Director. **Requirements:** * Must be a certified medical coder; with certification from any recognized United States medical coding credentialing institution * A minimum of 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 by applying ICD\-9/ICD\-10\-CM Coding Guidelines for inpatient and outpatient settings and related Official Coding Clinics; and * Ability to function in a lead role and/or train medical record reviewers; and * Knowledge and skills to serve as “Master Coder” (i.e., gold standard) for all medical record coding projects Pay: $25\.00 \- $28\.00 per hour Benefits: * 401(k) * 401(k) matching * Dental insurance * Flexible schedule * Life insurance * Paid time off Application Question(s): * Perform primary and secondary coding validation review of inpatient, outpatient, and physician office medical records per Risk Adjustment Data Validation (RADV) guidelines. Experience: * Accurately enter data into encoder, CDAT\-M: 5 years (Required) * ICD\-9/ICD\-10\-CM coding of general acute hospital : 6 years (Required) * Dispute and Appeal reviews per RADV guidelines.: 5 years (Required) * Leading a TEAM: 5 years (Required) * QA of coder reviews and provide feedback : 6 years (Required) License/Certification: * Medical Coding Certification (Required) Work Location: Remote