Medical Coder 1 - Medicare Operations

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

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.