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Remote Coder Quality Specialist
<p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14pt;"><strong>Who We Are</strong></span></p> <p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; line-height: 150%; font-family: Arial, sans-serif;">Centauri delivers data-driven technology solutions that transform fragmented clinical and member data into actionable intelligence — maximizing accuracy, quality performance, and outcomes for health plans and health systems. Through close collaboration with our customers, Centauri improves patient and member outcomes by providing advocacy, advanced data insights, and intelligent clinical data delivery. The company addresses critical healthcare challenges for complex populations and improves access and quality of care.<br></span></p> <p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"> </p> <p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"><span style="font-size: 12.0pt; line-height: 150%; font-family: Arial, sans-serif;">Headquartered in Tempe, Arizona, Centauri Health Solutions employs 1100 dedicated associates across the country and has been recognized on the <strong>Inc. 5000 list</strong>, the 2020 <strong>Deloitte Technology Fast 500™</strong>, and has been recognized as 2026 <strong>Best in KLAS</strong> for ADT Notifications.</span></p> <p style="margin: 0in; line-height: 150%; font-size: 11pt; font-family: Calibri, sans-serif;"> </p><p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Arial, sans-serif;"> </p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Arial, sans-serif;"><strong><span style="font-size: 14.0pt; line-height: 150%;">Your Daily Mission</span></strong><span style="font-size: 14.0pt; line-height: 150%;"> </span></p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Arial, sans-serif;"> </p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%; color: black;">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, and in accordance with all state regulations, federal regulations, internal policies, and internal 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. </span></p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Arial, sans-serif;"><strong><span style="line-height: 150%;"> </span></strong></p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Arial, sans-serif;"><strong><span style="font-size: 14.0pt; line-height: 150%;">Who You Are</span></strong></p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Arial, sans-serif;"> </p> <ul style="margin-top: 0in; margin-bottom: 0in;" type="disc"> <li style="margin: 0in 0in 0in 0px; line-height: 150%; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%; color: black;">Minimum of 5 years certified with a core coding credential from AHIMA or AAPAHIMA – CCS, CCS-P, AAPC – CPC, CRC.</span></li> <li style="color: black; margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Minimum of 3 recent years of production coding experience in Retrospective Risk Adjustment coding (must be within last 6 months)</span></li> <li style="color: black; margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Minimum of 2 years experience conducting coder audits in the Risk Adjustment environment</span></li> <li style="color: black; margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Required code set knowledge and coding experience in Medicaid (primary), Medicare, Commercial Minimum of 1 year coding experience with Complete Code Capture</span></li> <li style="color: black; margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Minimum of 5 years certified with a core coding credential from AHIMA or AAPAHIMA – CCS, CCS-P, AAPC – CPC, CRC (no apprentice credentials accepted)</span></li> <li style="color: black; margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Strong organizational skills</span></li> <li style="color: black; margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Technical savvy with high level of competence in basic computers, Microsoft Outlook, Word, and Excel</span></li> <li style="color: black; margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Strong written and verbal communication skills</span></li> <li style="color: black; margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Ability to work independently in a remote environment </span></li> </ul> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Arial, sans-serif;"><strong><span style="line-height: 150%;"> </span></strong></p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Arial, sans-serif;"><strong><span style="line-height: 150%;">The Reality of the Role</span></strong><span style="line-height: 150%;"> </span></p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Arial, sans-serif;"> </p> <ul style="margin-top: 0in; margin-bottom: 0in;" type="disc"> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Perform coding quality reviews of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Provide formal reports on audit findings and conduct education to internal and external coders based upon those findings</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Ability to pass coding quiz with 80% accuracy</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Consistently maintain a minimum 95% accuracy on audits by coding leadership</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Meet minimum productivity requirements as outlined by the project terms</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Ability to adhere to client guidelines when superseding other guidelines</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Assist coding leadership by making recommendations for process improvements to further enhance coding goals and outcomes</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Arial, sans-serif;"><span style="line-height: 150%;">Handle other related duties as required or assigned</span></li> </ul> <p style="margin-bottom: 0in;line-height: 150%;margin-top: 0in;margin-right: 0in;font-size: 12pt;font-family: Arial, sans-serif;"> </p><p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 14.0pt; line-height: 150%; font-family: Arial, sans-serif;">Why You’ll Love Centauri</span></strong><span style="font-size: 14.0pt; line-height: 150%; font-family: Arial, sans-serif;"> </span><span style="font-family: Arial, sans-serif;">(Our Promise to You)</span></p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">We believe that caring for our members starts with caring for our team, and we are committed to providing a rewarding environment where employees can grow, excel, and achieve both personal and professional goals.</span></p> <ul style="margin-top: 0in; margin-bottom: 0in;" type="disc"> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Comprehensive medical, dental, vision, and prescription coverage</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Wellness program supporting overall well-being</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Company-paid basic life and AD&D insurance</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">401(k) plan with company match</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Tuition reimbursement opportunities</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Paid time off for vacation and illness</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Six paid company holidays</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Floating holiday</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Company-paid training and computer equipment</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Performance-based bonus program</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Paid time off for volunteer activities</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Employee referral bonus program</span></li> <li style="margin-bottom: 0in; line-height: 150%; margin-top: 0in; margin-right: 0in; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Career development and training opportunities, including leadership growth</span></li> </ul> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 14.0pt; line-height: 150%; font-family: Arial, sans-serif;">Compensation Transparency</span></strong></p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Factors which may affect starting pay within this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate.</span></p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"> </p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"><strong><span style="font-size: 14.0pt; line-height: 150%; font-family: Arial, sans-serif;">Equal Employment Opportunity and Accommodation</span></strong></p> <p style="margin: 0in; line-height: 150%; font-size: 12pt; font-family: Aptos, sans-serif;"><span style="font-family: Arial, sans-serif;">Centauri Health Solutions is an equal opportunity employer and is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with applicable law.</span></p>
