Medical Coder I, Amazon One Medical Senior Health

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

Benefits offered by this job

Health insurance

401(k) matching

Paid time off

Parental leave

Job summary

Amazon One Medical Senior Health Revenue Cycle team seeks a Medical Coder I to support Clinical and Revenue Cycle teams by reviewing coding accuracy of claims. This role reports to the Manager I, Finance.

The candidate will maintain CPT/ICD-10-CM expertise, assign codes for visits and procedures, and collaborate with the Medicare Risk Operations team to drive program outcomes while meeting One Medical standards.

Qualifications

• Experience in performing accurate and complete chart reviews for profee coding.
• Experience in profee auditing, coding, and documentation requirements.
• AAPC/CCS CPC certification or AHIMA CCS certification.
• 2+ years of medical profee coding experience.

Responsibilities

• Manage multiple coding projects and meet One Medical standards with timely delivery.
• Stay current on CPT, ICD-10-CM guidelines, AHA Coding Clinic Guidance and CMS Risk Adjustment guidelines.
• Assign ICD-10-CM, CPT, and other codes to visits, procedures, and diagnoses in production.
• Review and complete email requests in a timely manner.
• Collaborate with the Medicare Risk Operations team to improve program outcomes.

Skills

Profee coding

Chart reviews

Coding auditing

CPC certification

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

• Experience in performing accurate and complete chart reviews for profee coding
• Experience in profee auditing, coding, and documentation requirements
• AAPC/CCS CPC certification or AHIMA CCS certification
• 2+ years of medical profee coding experience

Preferred Qualifications

• 2+ years of participating in continuous improvement projects in your team to scale and improve controllership with measurable results experience
• 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

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

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.

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