The Opportunity:

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

Responsible for coding all claims for Senior Health inclusive of CPT, ICD-10-CM, and HCPCS. Responsible for the review and completion of email requests in a timely manner as well as reviewing. Demonstrates working knowledge of all facets of the role, relevant regulations, and organizational and departmental policies and procedures. Performs other duties and projects as assigned. Performs all duties in accordance with regulatory requirements and internal organizational policies and procedures.

What you’ll Likely Work On:

• 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.
• Work collaboratively with the Medicare Risk Operations team to ensure positive program outcomes.

What You’ll Need:

• 2+ years as an outpatient risk adjustment coder/auditor required
• 1+ years 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
• 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 HCC Risk Adjustment
• Possesses advanced knowledge and understanding of 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.
• Complies 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
• Ability to manage multiple projects

One Medical is committed to fair and equitable compensation practices. The base hourly range for this role is $16.00 to $30.50 per year. However, actual compensation packages are based on several factors that are unique to each candidate. These factors include, but are not limited to, job related knowledge and skill set, depth of experience, certifications and/or degrees, and specific work location. The total compensation package for certain roles may also include additional components such as a sign-on bonus, annual performance bonus, equity grants in the form of RSUs, medical and other benefits and/or other applicable incentive compensation plans. For more information, please visit https://www.onemedical.com/careers/.