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
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