Risk Adjustment Medical Coder, Fully Remote

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<div style="text-align: justify;"><span style="font-size: 12pt; font-family: arial, helvetica, sans-serif;">Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500™ list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com.</span></div><p> </p> <p style="box-sizing: border-box; margin: 0in 0in 8pt; color: rgb(28, 28, 30); white-space: normal; background-color: rgb(255, 255, 255); line-height: normal; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><strong style="box-sizing: border-box; font-weight: bolder;">Role Overview</strong></span></p> <p style="box-sizing: border-box; margin: 0in 0in 8pt; color: rgb(28, 28, 30); white-space: normal; background-color: rgb(255, 255, 255); line-height: normal; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="box-sizing: border-box; font-size: 12pt; font-family: arial, helvetica, sans-serif;">The Risk Adjustment Coder with <span style="box-sizing: border-box;"><span style="box-sizing: border-box;">AHIMA or AAPC certification </span></span>performs medical record diagnosis code abstraction 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 Risk Adjustment Coder 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. <strong style="box-sizing: border-box; font-weight: bolder;">Certified through <span style="box-sizing: border-box;">AHIMA or AAPC required.(CRC, CPC, CCS, CCS-P Certification Required)</span></strong></span></p> <p style="box-sizing: border-box; margin: 0in 0in 8pt; color: rgb(28, 28, 30); white-space: normal; background-color: rgb(255, 255, 255); line-height: normal; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><strong style="box-sizing: border-box; font-weight: bolder;">Role Responsibilities</strong></span></p> <ul style="box-sizing: border-box; margin-top: 0px; margin-bottom: 1em; list-style-type: disc; padding-left: 40px; color: rgb(28, 28, 30); font-family: 'Twemoji Country Flags', __Inter_0f3764, __Inter_Fallback_0f3764, -apple-system, BlinkMacSystemFont, 'Segoe UI', 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; white-space: normal; background-color: rgb(255, 255, 255);"> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; line-height: 14.1333px; font-family: arial, helvetica, sans-serif;">Perform code abstraction of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation</span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; line-height: 14.1333px; font-family: arial, helvetica, sans-serif;">Identify diagnosis and chart level impairments and documentation improvement opportunities for provider education</span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; line-height: 14.1333px; font-family: arial, helvetica, sans-serif;">Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations</span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; line-height: 14.1333px; font-family: arial, helvetica, sans-serif;">Ability to pass coding quiz with 80% accuracy</span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; line-height: 14.1333px; font-family: arial, helvetica, sans-serif;">Consistently maintain a minimum 95% accuracy on coding quality audits</span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; line-height: 14.1333px; font-family: arial, helvetica, sans-serif;">Meet minimum productivity requirements as outlined by the project terms</span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; line-height: 14.1333px; font-family: arial, helvetica, sans-serif;">Ability to adhere to client guidelines when superseding other guidelines</span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; line-height: 14.1333px; font-family: arial, helvetica, sans-serif;">Assist coding leadership by making recommendations for process improvements to further enhance coding goals and outcomes</span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; line-height: 14.1333px; font-family: arial, helvetica, sans-serif;">Handle other related duties as required or assigned</span></li> </ul> <p style="box-sizing: border-box; margin-top: 0in; margin-bottom: 0in; color: rgb(28, 28, 30); white-space: normal; background-color: rgb(255, 255, 255); line-height: 14.1333px; margin-right: 0in; font-size: 10pt; font-family: arial, helvetica, sans-serif;"> </p> <p style="box-sizing: border-box; margin: 0in 0in 8pt; color: rgb(28, 28, 30); white-space: normal; background-color: rgb(255, 255, 255); line-height: normal; font-size: 11pt; font-family: Aptos, sans-serif;"><span style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><strong style="box-sizing: border-box; font-weight: bolder;">Role Requirements:</strong></span></p> <ul style="box-sizing: border-box; margin-top: 0px; margin-bottom: 1em; list-style-type: disc; padding-left: 40px; color: rgb(28, 28, 30); font-family: 'Twemoji Country Flags', __Inter_0f3764, __Inter_Fallback_0f3764, -apple-system, BlinkMacSystemFont, 'Segoe UI', 'Helvetica Neue', Arial, 'Noto Sans', sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; white-space: normal; background-color: rgb(255, 255, 255);"> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><strong style="box-sizing: border-box; font-weight: bolder;"><span style="box-sizing: border-box;">Minimum of 3 years certified with a core coding credential from AHIMA or AAPC</span></strong></span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><strong style="box-sizing: border-box; font-weight: bolder;"><span style="box-sizing: border-box;">Must be one of the following (CRC, CPC, CCS, CCS-P)</span></strong></span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="font-family: arial, helvetica, sans-serif; font-size: 12pt;"><strong style="box-sizing: border-box; font-weight: bolder;"><span style="box-sizing: border-box;">Experience and proficiency working with Medicaid plans 1+ years</span></strong></span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; font-family: arial, helvetica, sans-serif;">Strong organizational skills</span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; font-family: arial, helvetica, sans-serif;">Technical savvy with high level of competence in basic computers, Microsoft Outlook, Word, and Excel</span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; font-family: arial, helvetica, sans-serif;">Strong written and verbal communication skills</span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; font-family: arial, helvetica, sans-serif;">Ability to work independently in a remote environment</span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; font-family: arial, helvetica, sans-serif;"><strong style="box-sizing: border-box; font-weight: bolder;">Minimum of 1 recent year of production coding experience in Retrospective Risk</strong> <strong style="box-sizing: border-box; font-weight: bolder;">Adjustment coding (must be within last 6 months)</strong></span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; font-family: arial, helvetica, sans-serif;">Required code set knowledge and coding experience in <strong style="box-sizing: border-box; font-weight: bolder;">Medicaid (primary)</strong>, Medicare, and Commercial benefit plans</span></li> <li style="box-sizing: border-box; font-family: arial, helvetica, sans-serif; font-size: 12pt;"><span style="box-sizing: border-box; font-size: 12pt; font-family: arial, helvetica, sans-serif;">Minimum of 1 year coding experience with Complete Code Capture</span></li> </ul><div>We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes 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, and development opportunities. This position is bonus eligible in accordance with the terms of the Company’s plan. </div> <div> </div> <div>Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law. </div> <div> </div> <div> <div>Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate.</div> <div>This position is bonus eligible in accordance with the terms of the Company’s plan.</div> </div>

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