Centauri Health Solutions provides data-driven technology solutions that turn fragmented clinical and member data into actionable intelligence for health plans and health systems. The organization focuses on improving accuracy, quality performance, and outcomes across complex populations.
The Coding Quality Specialist performs coding quality reviews on internal and external coders to ensure diagnoses are accurately assigned based on clinical documentation and official coding guidance. This role supports primarily Medicaid lines of business, with possible exposure to Medicare Advantage Risk Adjustment and Commercial Risk Adjustment. The position is fully remote.
- Minimum of 5 years with a core coding credential from AHIMA or AAPC, such as CCS, CCS-P, CPC, or CRC
- Minimum of 3 recent years of production coding experience in retrospective risk adjustment coding
- Minimum of 2 years of experience conducting coder audits in a risk adjustment environment
- Experience with Medicaid coding; Medicare and Commercial experience preferred
- At least 1 year of experience with Complete Code Capture
- Strong organizational skills
- Proficiency with Microsoft Outlook, Word, and Excel
- Strong written and verbal communication skills
- Ability to work independently in a remote environment
- Ability to pass a coding quiz with 80% accuracy
- Ability to maintain at least 95% audit accuracy
- No apprentice credentials accepted
- Medical, dental, vision, and prescription coverage
- Wellness program
- Company-paid basic life and AD&D insurance
- 401(k) with company match
- Tuition reimbursement opportunities
- Paid time off for vacation and illness
- Six paid company holidays
- Floating holiday
- Company-paid training and computer equipment
- Performance-based bonus program
- Paid volunteer time off
- Employee referral bonus program
- Career development and leadership growth opportunities
Location
N/A
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
2 weeks ago