Medical Records Technician Coder IV-Lead

Job Description

Posted Friday, May 29, 2026 at 5:00 AM

Koniag Advisory Business Solutions, LLC, a Koniag Government Services company, is seeking a Medical Records Technician Coder IV-Lead to support KABS and our government customer in Oklahoma, OKC. This position requires the candidate to be able to obtain a Public Trust.

This position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid Vacation, paid sick leave and more.

In this role, you will help ensure the integrity of clinical documentation, support compliant reimbursement, and contribute to the continuity of patient care by accurately interpreting records, assigning diagnostic and procedural codes, and abstracting key clinical data. We are looking for seasoned professionals with a critical eye for detail, deep knowledge of coding conventions and reimbursement requirements, and the confidence to work independently while collaborating effectively with providers, business office staff, and health information management leadership.

This position is especially well suited for seasoned professionals who take pride in converting voluminous, complex medical records into billable events, maintaining high ethical standards, identifying discrepancies, and helping healthcare teams improve documentation quality and coding accuracy.

This is a hybrid position based in Oklahoma City, Oklahoma. We anticipate July 1 as the project kick-off date. During the first few weeks of onboarding and initial training, employees are required to work on site full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m. CT, at:
701 Market Dr
Oklahoma City, OK 73114.

Core working hours are generally 9:00 a.m. CT to 3:00 p.m. CT, with exact start and end times determined by the Program Manager. Work hours may flex based on client needs.

Based on demonstrated proficiency and successful performance in all areas of responsibility, employees may become eligible for telework. Telework is a temporary privilege and may be modified or rescinded at any time due to operational, client, business, or security requirements. Employees approved for telework must:

• Maintain a dedicated, secure home office workspace.
• Maintain a reliable high-speed internet connection.
• Reside within a reasonable commuting distance of Oklahoma City.
• Report to the office at least twice every two weeks, and more often as needed for meetings or business requirements.

The purpose of this position is to interpret, analyze, and assign diagnostic and procedural codes, abstract clinical information into the computer database, and make determinations regarding appropriate utilization of services and medical necessity for all types of hospital and clinic records, including inpatient, day surgery, observation, emergency room, and ambulatory care. The coding function provides the primary source for data and information used in healthcare, promotes continuity of medical care, and ensures compliance with third-party reimbursement policies, regulations, and accreditation guidelines.

The Medical Records Coder IV (Lead) serves as a senior technical coding resource and lead-level individual contributor, handling highly complex cases, supporting audits and provider education, mentoring junior coders, and helping strengthen documentation and coding quality across the team.

• Performs comprehensive quantitative analysis by reviewing written, dictated, and electronic clinical documentation records to ensure the presence of all required components of the ambulatory or inpatient visit record.
• Performs comprehensive qualitative analysis by evaluating the record for documentation consistency and adequacy and ensuring the final diagnosis accurately reflects the care and treatment rendered.
• Reviews records for compliance with established third-party reimbursement agencies, special screening criteria, facility policy, medico-legal requirements, and regulatory requirements.
• Identifies inconsistencies, discrepancies, and trends within the medical record and formulates provider queries, both written and verbal, for clarification and specificity.
• Recommends appropriate modifications to support medical necessity, coding compliance, and adherence to the Correct Coding Initiative, facility policy, and regulatory requirements.
• Provides ongoing education and updates to medical staff and…