Centauri Health Solutions, Inc · 1 day ago
Coding Quality Specialist - Remote
United States
Full-time
Remote
Mid, Senior Level
5+ years expCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs. The Coding Quality Specialist conducts coding quality reviews to ensure accurate assignment of diagnoses based on clinical documentation and regulatory guidelines.
Data ManagementHealth CareHospitalRisk ManagementSoftware
Responsibilities
Perform coding quality reviews of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation
Provide formal reports on audit findings and conduct education to internal and external coders based upon those findings
Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations
Ability to pass coding quiz with 80% accuracy
Consistently maintain a minimum 95% accuracy on audits by coding leadership
Meet minimum productivity requirements as outlined by the project terms
Ability to adhere to client guidelines when superseding other guidelines
Assist coding leadership by making recommendations for process improvements to further enhance coding goals and outcomes
Handle other related duties as required or assigned
Qualification
Required
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 Minimum of 1 year coding experience with Complete Code Capture
Minimum of 5 years certified with a core coding credential from AHIMA or AAPAHIMA – CCS, CCS-P, AAPC – CPC, CRC (no apprentice credentials accepted)
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
Generous paid time off
A matching 401(k) program
Tuition reimbursement
Annual salary reviews
A comprehensive health plan
The opportunity to participate in volunteer activities on company time
Development opportunities
This position is bonus eligible in accordance with the terms of the Company’s plan.
Company
Centauri Health Solutions, Inc
Centauri Health Solutions aims to attract and retain the industry’s top talent as we continue to create and deliver the most flexible and innovative tools in the market.
1001-5000 employees
H1B Sponsorship
Centauri Health Solutions, Inc has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)
Funding
Current Stage
Late StageTotal Funding
$118.44MKey Investors
SV Health InvestorsSilversmith Capital Partners
2020-01-09Acquired
2018-06-29Series Unknown· $18.19M
2017-02-10Series Unknown· $50.25M
Leadership Team
Michelle Miller
Chief Technology Officer
K
Kai Tsai
EVP of Strategic Business Development
Recent News
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