Medical Coding Specialist, Amazon One Medical, Billing and Collections Senior Health

As a member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coding Specialist will be responsible for supporting Amazon One Medical Clinical and Revenue Cycle teams in reviewing the coding accuracy of claims. This role reports into the Manager I, Finance.
Responsible for coding all claims for Senior Health inclusive of CPT, ICD-10-CM, and HCPCS.

You will be 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.


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

2+ years as a Professional Coder in an office setting inclusive of risk adjustment coder/auditor experience 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

Preferred Qualifications

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
Possesses advanced knowledge and understanding of Profee and 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 …