Certified Medical Coder, Medicare Operations, Amazon One Medical Senior Health

Socket.dev; Arlington (VA); On-site; USD 57,000 - 99,000; Full time

Job summary

Amazon One Medical's Senior Health Revenue Cycle team seeks a Medical Coder I to support Clinical and Revenue Cycle teams by reviewing the accuracy of claims coding. You will ensure coding aligns with CPT and ICD-10-CM guidelines and support timely responses to requests.

Based in USA, VA, Arlington, you will work with the Medicare Risk Operations group to drive compliant coding outcomes, while maintaining high standards and accountability across operations, systems, and processes.

Qualifications

• 1+ years of finance experience.
• 2+ years of Accounts Receivable or Accounts Payable experience.
• 2+ years of applying KPIs to analyses.
• Bachelor's degree in Finance, Accounting, Business, Economics or a highly analytical field.
• Knowledge of Excel, Access, Oracle, Essbase, SQL and VBA.
• Experience using data to influence business decisions.
• Experience in corporate finance including budgeting/planning, forecasting and reporting.
• 1+ years of medical profee coding experience.
• AAPC/CCS CPC certification or AHIMA CCS certification.

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

Skills

Finance experience

AR/AP experience

KPIs experience

Data-driven decisions

Corporate finance

Medical profee coding

Coding/compliance

Analytical mindset

Education

Bachelor's degree in finance/related

AAPC/CCS CPC or AHIMA CCS

Tools

Excel

Access

Oracle

Essbase

SQL

VBA

Job description

As a member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Clinical and Revenue Cycle teams in reviewing the coding accuracy of claims. This role reports into the Manager I, Finance.

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 our growth, 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.

Key job 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

Basic Qualifications

• 1+ years of finance experience
• 2+ years of Accounts Receivable or Account Payable experience
• 2+ years of applying key financial performance indicators (KPIs) to analyses experience
• Bachelor's degree in Finance, Accounting, Business, Economics or a highly analytical field (e.g., Engineering, Math, and Computer Science)
• Knowledge of standard software including Excel, Access, Oracle, Essbase, SQL and VBA skills
• Experience using data to influence business decisions
• Experience in corporate finance including budgeting/planning, forecasting and reporting
• 1+ years of medical profee coding experience
• AAPC/CCS CPC certification or AHIMA CCS certification

Preferred Qualifications

• 2+ years of participating in continuous improvement projects in your team to scale and improve controllership with measurable results experience
• Experience in TM1, Data Warehouse and SQL
• 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

Equal Opportunity Statement

Amazon is an equal opportunity employer and does not discriminate on the basis of protected veteran status, disability, or other legally protected status.

Accommodations

Our inclusive culture empowers Amazonians to deliver the best results for our customers. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please visit https://amazon.jobs/content/en/how-we-hire/accommodations for more information. If the country/region you’re applying in isn’t listed, please contact your Recruiting Partner.

Benefits and Compensation

The base salary range for this position is listed below. Your Amazon package will include sign-on payments and restricted stock units (RSUs). Final compensation will be determined based on factors including experience, qualifications, and location. Amazon also offers comprehensive benefits including health insurance (medical, dental, vision, prescription, Basic Life & AD&D insurance and option for Supplemental life plans, EAP, Mental Health Support, Medical Advice Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave. Learn more about our benefits at https://amazon.jobs/en/benefits.

USA, VA, Arlington - 56,700.00 - 99,300.00 USD annually