[Hiring] Medical Coding Quality Specialist @Centauri Health Solutions

Role Description

Are you a complete code capture specialist? Have you been certified for 5 years? If so, we need to talk!

The Coding Quality Specialist conducts coding quality reviews on internal and external coders to ensure diagnoses are appropriately and accurately assigned based upon:

• Clinical documentation
• ICD-10-CM Official Guidelines for Coding and Reporting
• AHA Coding Clinic Guidance
• CMS program guidance
• All state regulations
• Federal regulations
• Internal policies and procedures

The Coding Quality Specialist will apply guidance provided for the medical record code abstraction primarily for Medicaid lines of business (Complete Code Capture), but may also include Medicare Advantage Risk Adjustment or Commercial Risk Adjustment.

Qualifications

• Minimum of 1 year coding experience with Complete Code Capture
• Minimum of 5 years certified with a core coding credential from AHIMA or AAPC (CCS, CCS-P, CPC, CRC)

Requirements

• Minimum of 3 recent years of production coding experience in Retrospective Risk Adjustment coding (must be within last 6 months)
• Minimum of 2 years experience conducting coder audits in the Risk Adjustment environment
• Required code set knowledge and coding experience in Medicaid (primary), Medicare, Commercial
• Strong organizational skills
• Technical savvy with high level of competence in basic computers, Microsoft Outlook, Word, and Excel
• Strong written and verbal communication skills
• Ability to work independently in a remote environment

Benefits

• Comprehensive medical, dental, vision, and prescription coverage
• Wellness program supporting overall well-being
• Company-paid basic life and AD&D insurance
• 401(k) plan 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 time off for volunteer activities
• Employee referral bonus program
• Career development and training opportunities, including leadership growth