Remote Coding Training Specialist

Our Coding Training Specialists are responsible for ensuring the quality, accuracy, and continuous development of the coding and auditing staff. This role's primary function is to support the department's operational goals by leading new hire onboarding, providing ongoing training and quality assurance, and serving as a subject matter expert on coding guidelines and client requirements. The specialist handles complex coding questions, resolves disputes, manages client appeals, and develops educational materials.

This role directly impacts departmental production, accuracy, and the professional growth of the coding team.

• High School Diploma or equivalent;
  Associate’s or Bachelor's degree preferred.
• Minimum 5 years of production coding in a risk adjustment environment.
• Minimum 1-2 years of auditing other coders' work.
• Minimum 1 year of experience with Complete Code Capture.
• Required experience in Medicare Advantage, Commercial, and Medicaid Risk Adjustment.
• Current core coding credential (e.g., CPC, CRC, CCS, CCS-P). Apprentice status (CCA or CPC-A) is not sufficient. CRC is preferred.
• Advanced knowledge of ICD-10-CM, coding guidelines, and risk adjustment models.
• Proficiency in Microsoft Office, Adobe, and coding platforms.
• Exceptional communication and interpersonal skills
• Strong analytical and problem-solving abilities
• Superior time management and organizational skills.
• Strong written and verbal communication for providing feedback.
• Exposure to different EMR systems (Epic, Athena). Previous work with an encoder preferred.
• Previous NLP (Natural Language Processing) experience preferred.

• Lead end-to-end onboarding processes for new coders and auditors, including initial setup of all required software, systems, and access.
• Conduct intensive, one-on-one virtual training sessions to cover department processes, coding platforms (e.g., Advance), client-specific guidelines, and Centauri policies.
• Direct the work of new hires during their initial training period by assigning practice charts and performing 100% QA on their work to provide detailed, actionable feedback.
• Track and document new hire progress through daily summaries and communication with managers to ensure a smooth transition to production.

• Serve as the primary resource for the Risk Adjustment Coding Services (RACS) team by researching and answering complex coding questions and resolving rebuttals between coders and the QA team.
• Provide validation support for existing staff moving to new or unfamiliar projects, ensuring they meet accuracy standards before full production.
• Lead one-on-one remediation and Validation Improvement Plans (VIP) for coders who fall below accuracy expectations, including targeted feedback sessions and supplemental training.
• Troubleshoot and resolve IT and system-related issues within coding portals to ensure minimal disruption to production staff.

• Develop, update, and maintain a centralized library of training materials, including presentations, project-specific guidance documents, and general coding resources.
• Identify trending issues and knowledge gaps by analyzing RACS questions and QA feedback and proactively develop training to address them.
• Prepare and lead live, bi-weekly project meetings to provide clarifications, present updates, and address common errors.
• Stay current with official coding updates (e.g., ICD-10-CM, AHA Coding Clinic) and disseminate critical information to the coding department.

• Manage and execute time-sensitive client appeals by reviewing coded charts, correcting errors, and providing detailed rationale to defend coding decisions.
• Collaborate with the Coding Education Manager on strategic initiatives to improve department-wide accuracy and production.
• Attend client calls as needed to provide subject matter expertise on coding and training processes.
• Participate in new hire interviews and provide collaborative feedback on candidates.
• Other duties as assigned by leadership.