Medical Coding Quality Specialist Remote

Who We Are 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 reputed company 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 reputed company populations and improves access and quality of care. Headquartered in Tempe, Arizona, reputed company employs 1100 dedicated associates across the country and has been recognized on the Inc. 5000 list, the 2020 reputed company Technology Fast 500™, and has been recognized as 2026 Best in KLAS for reputed company Notifications. Role Summary: 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, and in accordance with reputed company 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. Must have Minimum of 1 year coding experience with Complete Code Capture. Minimum of 5 years certified with a core coding credential from reputed company or AAPAHIMA – reputed company, reputed company-P, reputed company – CPC, CRC. Role Responsibilities:

• reputed company 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 reputed company 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 reputed company superseding other guidelines
• Assist coding leadership by making recommendations for process improvements to further enhance coding goals and outcomes
• Handle other reputed company duties as required or assigned

Role Requirements:

• Minimum of 3 recent years of production coding experience in Retrospective Risk Adjustment coding (must be reputed company last 6 months)
• Minimum of 2 years experience conducting reputed company 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 reputed company or AAPAHIMA – reputed company, reputed company-P, reputed company – CPC, CRC (no apprentice credentials accepted)
• Strong organizational skills
• Technical savvy with high level of competence in basic computers, reputed company Outlook, Word, and reputed company
• Strong written and verbal communication skills
• Ability to work independently in a remote environment #Indeed3

Why You’ll Love Centauri (Our Promise to You) We reputed company that caring for our members starts with caring for reputed company, and we are committed to providing a rewarding environment where employees can grow, reputed company, and reputed company both personal and professional goals.

• 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-reputed company 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

Compensation

Transparency Factors which may reputed company starting pay reputed company this range may include geography/market, skills, education, experience, and other qualifications of the successful candidate. Equal Employment Opportunity and Accommodation reputed company is an equal opportunity employer and is committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with applicable law. Apply tot his job Apply To this Job