About The Position

As a member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in reviewing the coding accuracy of claims. This role reports into the Manager I, Revenue Cycle. As part of Amazon Health Services, you will find yourself working with exceptionally talented and dedicated people committed to driving financial improvement, scalability, and process excellence. To support the growth of Amazon Health Services, this candidate must possess a strong passion for accountability, setting high standards, raising the bar, and driving results through constant focus on improving existing and future state operations, systems, and processes in collaboration with Management.

Requirements

  • 2+ years as a Profee Coder in an office setting inclusive of risk adjustment coder experience required.
  • 1+ year experience in Medicare/Medicare Advantage required.
  • CPC certification through AAPC or CCS certification through AHIMA required.
  • CRC must be obtained within one year of hire.
  • Must have strong experience in Microsoft or Google suite in spreadsheets and PowerPoint.

Nice To Haves

  • Demonstrates knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions.
  • Demonstrates ability to perform accurate and complete chart reviews for Profee and HCC Risk Adjustment.
  • Possesses advanced knowledge and understanding of Profee and HCC Risk Adjustment, coding and documentation requirements.
  • Previous experience in a coding production environment.
  • Demonstrates ability to identify and communicate trends in provider coding and documentation.
  • Strong written, verbal, communication, and attention to detail skills.
  • Strong organizational, analytical, problem solving, and time management skills.
  • Works effectively and efficiently within a team environment.
  • Adaptable to shifting priorities and demonstrates willingness to do what it takes to meet client and team needs.
  • Compliance with policies and procedures for confidentiality of all patient records and security of systems.
  • Ability to work independently and meet quality of work and workload expectations.

Responsibilities

  • Managing multiple coding related projects and ensuring deliverables are up to One Medical standards while being turned around in an acceptable time frame.
  • Remaining current on CPT, ICD-10-CM coding guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidance.
  • Assign appropriate ICD-10-CM, CPT, and other relevant codes to office visits, procedures, and diagnoses in a production environment.
  • Responsible for the review and completion of email requests in a timely manner.
  • Work collaboratively with the Medicare Risk Operations team to ensure positive program outcomes.

Benefits

  • Full range of medical, financial, and/or other benefits.
  • Equity, sign-on payments, and other forms of compensation may be provided as part of a total compensation package.
© 2024 Teal Labs, Inc
Privacy PolicyTerms of Service